Ms Jisook Kim, is a medicare enrolled "Nurse Practitioner - Primary Care" in Sunray, Texas. Her current practice location is
6701 Fm 119, Sunray, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 935-1503.
Ms Jisook Kim is licensed to practice in Texas (license number 1059809) 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 1528726221.
Provider's Profile
Full Name | Ms Jisook Kim |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 6701 Fm 119, Sunray, Texas |
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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 Jisook Kim attended and graduated from in
NPI Data:
- NPI Number: 1528726221
- Provider Enumeration Date: 11/30/2021
- Last Update Date: 05/03/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Jisook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528726221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 1059809 (Texas) | Primary |
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 Jisook 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 Jisook Kim, Po Box 195, Dumas, TX 79029-0195 Ph: (817) 372-4194 | Ms Jisook Kim, 6701 Fm 119, Sunray, TX 79086-2013 Ph: (806) 935-1503 |
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