Mihae Kim, NURSE PRACTITIONER - Medicare Nurse Practitioner in Santa Monica, CA

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Mihae Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Santa Monica, California. She went to University Of California, Geffen School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 1301 20th St Ste 150, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 582-7641.

Mihae Kim is licensed to practice in California (license number 23498) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750714408.

Contact Information

Mihae Kim, NURSE PRACTITIONER
1301 20th St Ste 150,
Santa Monica, CA 90404-2050
(310) 582-7641
(310) 315-4069

Map and Direction




Provider's Profile

Full NameMihae Kim
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1301 20th St Ste 150, Santa Monica, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mihae Kim attended and graduated from University Of California, Geffen School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1750714408
  • Provider Enumeration Date: 08/16/2013
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547487894
  • Enrollment ID: I20140808002000

Medical Identifiers

Medical identifiers for Mihae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750714408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 23498 (California)Secondary
363LG0600XNurse Practitioner - Gerontology 23498 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 23498 (California)Secondary
363L00000XNurse Practitioner 23498 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mihae Kim allows following entities to bill medicare on her behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mihae Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mihae Kim, NURSE PRACTITIONER
1245 16th St, 204,
Santa Monica, CA 90404-1235

Ph: (310) 319-3222		Mihae Kim, NURSE PRACTITIONER
1301 20th St Ste 150,
Santa Monica, CA 90404-2050

Ph: (310) 582-7641

Reviews and Comments


Nurse Practitioner Nurses in Santa Monica, CA

Claudia L Wong, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 20th St Ste 150, Santa Monica, CA 90404
Phone: 310-582-7641    Fax: 310-315-4069
Breanne Grazer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404
Phone: 310-453-1324    
Ermina Cavcic,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1250 16th St, Santa Monica, CA 90404
Phone: 424-259-8262    
Brittany Masters, MSN, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1450 10th St, Suite 404, Santa Monica, CA 90401
Phone: 310-451-8144    Fax: 310-451-3414
Cristina Shallenberger, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2021 Santa Monica Blvd, Suite 600 East, Santa Monica, CA 90404
Phone: 310-828-2282    
Misbah Akbar,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2121 Wilshire Blvd Ste 303, Santa Monica, CA 90403
Phone: 805-719-3700    Fax: 805-413-9099
Tamar Lori Knadjian-hindin, RN, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1301 20th St Ste 590, Santa Monica, CA 90404
Phone: 310-315-0101    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.