Mr Jong Hoon Kim, FNP in Flushing, NY - Medicare Nurse Practitioner

Mr Jong Hoon Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Flushing, New York. His current practice location is 19214 Northern Blvd # 2d, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 762-3240.

Mr Jong Hoon Kim is licensed to practice in New York (license number F351965) 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 1154106813.

Contact Information

	Mr Jong Hoon Kim, FNP
	19214 Northern Blvd # 2d, Flushing, NY 11358-2955
	(718) 762-3240
	(855) 770-4386

Map and Direction

Provider's Profile

Full Name	Mr Jong Hoon Kim
Gender	Male
Speciality	Nurse Practitioner - Family
Location	19214 Northern Blvd # 2d, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154106813
Provider Enumeration Date: 08/30/2023
Last Update Date: 05/27/2026

Medicare PECOS Information:

PECOS PAC ID: 4688028160
Enrollment ID: I20231003000367

Medical Identifiers

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

Identifier	Type	State	Issuer
1154106813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F351965 (New York)	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 Jong Hoon Kim allows following entities to bill medicare on his behalf.

Entity Name	Molina Healthcare Of New York Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134622970 PECOS PAC ID: 8628468337 Enrollment ID: O20211210001127

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 Jong 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 Jong Hoon Kim, FNP 1a Locust Pl, Huntington Station, NY 11746-4233 Ph: (347) 971-9019	Mr Jong Hoon Kim, FNP 19214 Northern Blvd # 2d, Flushing, NY 11358-2955 Ph: (718) 762-3240

Reviews and Comments

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Mr Jong Hoon Kim, FNP - Medicare Nurse Practitioner in Flushing, NY