Mr Elijah Sangku-daniel Kim, PMHNP-BC - Medicare Nurse Practitioner in San Marcos, CA

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Mr Elijah Sangku-daniel Kim, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Marcos, California. His current practice location is 277 Rancheros Dr Ste 301, San Marcos, California. You can reach out to his office (for appointments etc.) via phone at (855) 501-1004.

Mr Elijah Sangku-daniel Kim is licensed to practice in California (license number 19455) 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 1225501109.

Contact Information

Mr Elijah Sangku-daniel Kim, PMHNP-BC
277 Rancheros Dr Ste 301,
San Marcos, CA 92069-2993
(855) 501-1004
(760) 471-4078

Map and Direction




Provider's Profile

Full NameMr Elijah Sangku-daniel Kim
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location277 Rancheros Dr Ste 301, San Marcos, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225501109
  • Provider Enumeration Date: 01/03/2019
  • Last Update Date: 05/22/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6002141140
  • Enrollment ID: I20190711003612

Medical Identifiers

Medical identifiers for Mr Elijah Sangku-daniel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225501109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 19455 (California)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 Elijah Sangku-daniel Kim allows following entities to bill medicare on his behalf.
Entity NameRichmond Area Multi-services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548312309
PECOS PAC ID: 4284675588
Enrollment ID: O20091001000103

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 Elijah Sangku-daniel 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 Elijah Sangku-daniel Kim, PMHNP-BC
3835 N Freeway Blvd Ste 100,
Sacramento, CA 95834-1954

Ph: Not Available		Mr Elijah Sangku-daniel Kim, PMHNP-BC
277 Rancheros Dr Ste 301,
San Marcos, CA 92069-2993

Ph: (855) 501-1004

Reviews and Comments


Nurse Practitioner Nurses in San Marcos, CA

Ms. Cynthia Elizabeth Manly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069
Phone: 855-501-1004    
Elisabeth Ashley Murray,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 San Elijo Rd S Ste 104, San Marcos, CA 92078
Phone: 228-233-7257    
Jocielynn Baltazar, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 574 E Mission Rd Ste F, San Marcos, CA 92069
Phone: 760-571-3006    
Eloisa B Dietrich,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 277 Rancheros Dr Ste 301, San Marcos, CA 92069
Phone: 760-471-4073    Fax: 760-471-4078
Lauren Sarah Debski, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 152 Diamante Rd, San Marcos, CA 92078
Phone: 760-593-6603    Fax: 760-387-1809
Ms. Twila A Noble, N.P.-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1582 W San Marcos Blvd Ste 100, San Marcos, CA 92078
Phone: 760-591-9975    Fax: 760-591-9976
Rami Fodda, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Valpreda Rd, San Marcos, CA 92069
Phone: 760-736-6767    

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.

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