Mr Jae Hoon Kim, CRNP-PMH in Bethesda, MD - Medicare Nurse Practitioner

Mr Jae Hoon Kim, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bethesda, Maryland. His current practice location is 7201 Wisconsin Ave Ste 440, Bethesda, Maryland. You can reach out to his office (for appointments etc.) via phone at (202) 236-4669.

Mr Jae Hoon Kim is licensed to practice in Maryland (license number R189134) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760726525.

Contact Information

	Mr Jae Hoon Kim, CRNP-PMH
	7201 Wisconsin Ave Ste 440, Bethesda, MD 20814-4851
	(202) 236-4669
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jae Hoon Kim
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7201 Wisconsin Ave Ste 440, Bethesda, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760726525
Provider Enumeration Date: 11/19/2012
Last Update Date: 06/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6901042993
Enrollment ID: I20160504001462

Medical Identifiers

Medical identifiers for Mr Jae Hoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760726525	NPI	-	NPPES
822275	Medicaid	MD
30015955680008	Medicaid	VA
587108500	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024178821 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R189134 (Maryland)	Primary

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. Mr Jae Hoon Kim allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Montgomery Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194725739 PECOS PAC ID: 3971591751 Enrollment ID: O20040501000320

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935

Entity Name	Lazarus Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962011205 PECOS PAC ID: 9436553856 Enrollment ID: O20210807000078

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. Mr Jae Hoon 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 Address	Practice Location Address
Mr Jae Hoon Kim, CRNP-PMH 7201 Wisconsin Ave Ste 440, Bethesda, MD 20814-4851 Ph: (202) 236-4669	Mr Jae Hoon Kim, CRNP-PMH 7201 Wisconsin Ave Ste 440, Bethesda, MD 20814-4851 Ph: (202) 236-4669

Reviews and Comments

Nurse Practitioner Nurses in Bethesda, MD

Mr. Michael S Stagliano, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10 Center Dr Bldg 10, Bethesda, MD 20892 Phone: 240-507-0883 Fax: 301-480-5598
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Mr. Hector Erazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-6400
Eliza Staley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4520 E West Hwy Ste 775, Bethesda, MD 20814 Phone: 667-668-2566
Dr. Margaret Farmar Keil, CRNP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: National Institutes Of Health, Nichd, 10 Center Drive, Bldg 10 Room 1 E 3330, Bethesda, MD 20892 Phone: 301-435-3391 Fax: 301-402-1073
Olivia Marie Remsberg, CRNP-FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 Rockville Pike, Bethesda, MD 20892 Phone: 301-496-4000
Ellen Marie Townley O'gara, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7809 Wisconsin Ave, Minute Clinic, Bethesda, MD 20814 Phone: 301-986-9144

Mr Jae Hoon Kim, CRNP-PMH - Medicare Nurse Practitioner in Bethesda, MD