Mrs Jiyeon Kim, PA in Duluth, GA - Medicare Nurse Practitioner

Mrs Jiyeon Kim, PA is a medicare enrolled "Nurse Practitioner - Family" in Duluth, Georgia. Her current practice location is 3610 Peachtree Industrial Blvd, Suite 100, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 417-0332.

Mrs Jiyeon Kim is licensed to practice in Georgia (license number F0317639) 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 1154863520.

Contact Information

	Mrs Jiyeon Kim, PA
	3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4953
	(678) 417-0332
	(470) 200-2823

Map and Direction

Provider's Profile

Full Name	Mrs Jiyeon Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3610 Peachtree Industrial Blvd, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154863520
Provider Enumeration Date: 11/16/2016
Last Update Date: 11/16/2016

Medicare PECOS Information:

PECOS PAC ID: 7618301334
Enrollment ID: I20200103002253

Medical Identifiers

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

Identifier	Type	State	Issuer
1154863520	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F0317639 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	F0317639 (Georgia)	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 Jiyeon Kim allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph's Mercy Care Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588663421 PECOS PAC ID: 9931191525 Enrollment ID: O20050516000862

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 Jiyeon 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
Mrs Jiyeon Kim, PA 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4953 Ph: (678) 417-0332	Mrs Jiyeon Kim, PA 3610 Peachtree Industrial Blvd, Suite 100, Duluth, GA 30096-4953 Ph: (678) 417-0332

Reviews and Comments

Nurse Practitioner Nurses in Duluth, GA

Christopher Pride, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 720-472-8052
Mrs. Tujuana C Glenn Olajide, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5404 Tree Summit Pkwy, Duluth, GA 30096 Phone: 678-477-3397 Fax: 678-417-9151
Ms. Isla Starr Marrero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 Breckinridge Blvd, Suite 415, Duluth, GA 30096 Phone: 770-962-8396
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Lovelin Fonkika, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6650 Sugarloaf Pkwy Ste 800, Duluth, GA 30097 Phone: 404-921-3334
Ms. Jacqueline Hope Maureen Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3510 Stoneham Dr, Duluth, GA 30097 Phone: 706-405-1703
Linda Lee Peabody, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3660 Howell Ferry Rd, Duluth, GA 30096 Phone: 770-670-4640

Mrs Jiyeon Kim, PA - Medicare Nurse Practitioner in Duluth, GA