Ms Haksoo Kim, NURSE PRACTITIONER in East Setauket, NY

Ms Haksoo Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Adult Health" in East Setauket, New York. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and her current practice location is 26 Research Way, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-0502.

Ms Haksoo Kim is licensed to practice in New York (license number 309261) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013562891.

Contact Information

	Ms Haksoo Kim, NURSE PRACTITIONER
	26 Research Way, East Setauket, NY 11733-3526
	(631) 444-0502
	(631) 444-0187

Map and Direction

Provider's Profile

Full Name	Ms Haksoo Kim
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	26 Research Way, East Setauket, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Haksoo Kim graduated from nursing school in 2019

NPI Data:

NPI Number: 1013562891
Provider Enumeration Date: 08/07/2019
Last Update Date: 01/23/2026

Medicare PECOS Information:

PECOS PAC ID: 4880022995
Enrollment ID: I20200323002477

Medical Identifiers

Medical identifiers for Ms Haksoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013562891	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309261 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Internists University Faculty Practice Corporation	9133019821	383

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. Ms Haksoo Kim allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Internists University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248

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. Ms Haksoo 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
Ms Haksoo Kim, NURSE PRACTITIONER 101 Nicolls Rd, Hsc, Level 16, Rm 80, Stony Brook, NY 11794-8166 Ph: (631) 444-1617	Ms Haksoo Kim, NURSE PRACTITIONER 26 Research Way, East Setauket, NY 11733-3526 Ph: (631) 444-0502

Reviews and Comments

Nurse Practitioner Nurses in East Setauket, NY

Sandra Thomas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-724-4664
Margaret A Cariola, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733 Phone: 631-751-8700 Fax: 631-751-5971
Ms. Jennifer Griffin, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686
Ms. Jennifer M Mulvey Fitzgerald, NP, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 Research Way, Suite 1, East Setauket, NY 11733 Phone: 914-649-9993
Frances M Tanzella, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4907 Fax: 631-444-4189
Mrs. Kristen Eileen Alarcon, F.N,P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686

Ms Haksoo Kim, NURSE PRACTITIONER - Medicare Nurse Practitioner in East Setauket, NY