Mr Jin Taek Kim, JIN KIM PA-C - Medicare Physician Assistant in San Francisco, CA

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Mr Jin Taek Kim, JIN KIM PA-C is a medicare enrolled "Physician Assistant - Surgical" in San Francisco, California. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 400 Parnassus Ave, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 353-2954.

Mr Jin Taek Kim is licensed to practice in California (license number PA18112) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952447625.

Contact Information

Mr Jin Taek Kim, JIN KIM PA-C
400 Parnassus Ave,
San Francisco, CA 94143-2202
(415) 353-2954
Not Available

Map and Direction




Provider's Profile

Full NameMr Jin Taek Kim
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location400 Parnassus Ave, San Francisco, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jin Taek Kim graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1952447625
  • Provider Enumeration Date: 01/30/2007
  • Last Update Date: 02/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799950861
  • Enrollment ID: I20111219000927

Medical Identifiers

Medical identifiers for Mr Jin Taek Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952447625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA18112 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc892191022510928

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 Jin Taek Kim allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 Jin Taek 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
Mr Jin Taek Kim, JIN KIM PA-C
25 Miwok Way,
Mill Valley, CA 94941-2593

Ph: (415) 383-0917		Mr Jin Taek Kim, JIN KIM PA-C
400 Parnassus Ave,
San Francisco, CA 94143-2202

Ph: (415) 353-2954

Reviews and Comments


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Tiffany Pong Ross, PA-C
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Phone: 888-663-6331    Fax: 415-252-7176

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.