Mrs Jeongsim Kim Izadi, RN in Union City, CA - Medicare Nurse Practitioner

Mrs Jeongsim Kim Izadi, RN is a medicare enrolled "Nurse Practitioner" in Union City, California. Her current practice location is 2814 Montair Pl, Union City, California. You can reach out to her office (for appointments etc.) via phone at (510) 907-0014.

Mrs Jeongsim Kim Izadi is licensed to practice in California (license number 95016945) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639776933.

Contact Information

	Mrs Jeongsim Kim Izadi, RN
	2814 Montair Pl, Union City, CA 94587-1680
	(510) 907-0014
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jeongsim Kim Izadi
Gender	Female
Speciality	Nurse Practitioner
Location	2814 Montair Pl, Union City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639776933
Provider Enumeration Date: 10/08/2020
Last Update Date: 08/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8729441415
Enrollment ID: I20230829000597

Medical Identifiers

Medical identifiers for Mrs Jeongsim Kim Izadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639776933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH1000X	Registered Nurse - Hospice	D2102705 (California)	Secondary
363L00000X	Nurse Practitioner	95016945 (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. Mrs Jeongsim Kim Izadi allows following entities to bill medicare on her behalf.

Entity Name	Premier Urgent Care A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568522878 PECOS PAC ID: 6507893104 Enrollment ID: O20050726000411

Entity Name	Majestic Palliative Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942075437 PECOS PAC ID: 4688017817 Enrollment ID: O20240205003332

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. Mrs Jeongsim Kim Izadi 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
Mrs Jeongsim Kim Izadi, RN 2814 Montair Pl, Union City, CA 94587-1680 Ph: (510) 907-0014	Mrs Jeongsim Kim Izadi, RN 2814 Montair Pl, Union City, CA 94587-1680 Ph: (510) 907-0014

Reviews and Comments

Nurse Practitioner Nurses in Union City, CA

Ms. Natalya Nicoloff, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000
Mr. Laudimir A. Limqueco, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32418 Woodland Dr, Union City, CA 94587 Phone: 510-364-7467
Ms. Jodie Duncan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-675-4010
Ms. Lisa Wicks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33255 Ninth St, Union City, CA 94587 Phone: 510-471-5880 Fax: 510-471-9051
Ms. Martha Virginia Cline, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33255 9th St, Union City, CA 94587 Phone: 510-471-5880 Fax: 510-471-9051
Ms. Elizabeth Ann Smith, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3553 Whipple Rd, Union City, CA 94587 Phone: 510-454-1000 Fax: 510-675-2178
Mr. Richard Joseph Beaulieu, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1800 H St Rm 80, Union City, CA 94587 Phone: 510-471-5880

Mrs Jeongsim Kim Izadi, RN - Medicare Nurse Practitioner in Union City, CA