Ms Jisook Kim, - Medicare Nurse Practitioner in Sunray, TX

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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 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 1528726221.

Contact Information

Ms Jisook Kim,
6701 Fm 119,
Sunray, TX 79086-2013
(806) 935-1503
(806) 935-1429

Map and Direction




Provider's Profile

Full NameMs Jisook Kim
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location6701 Fm 119, Sunray, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528726221
  • Provider Enumeration Date: 11/30/2021
  • Last Update Date: 05/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2365838737
  • Enrollment ID: I20220412001043

Medical Identifiers

Medical identifiers for Ms Jisook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528726221NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 1059809 (Texas)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. Ms Jisook Kim allows following entities to bill medicare on her behalf.
Entity NameFahad Najeeb Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245627785
PECOS PAC ID: 9032430301
Enrollment ID: O20150611002528
Entity NameCare Well Tx Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407354780
PECOS PAC ID: 3375805641
Enrollment ID: O20180326002254
Entity NameOak Street Health Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497387419
PECOS PAC ID: 2163843038
Enrollment ID: O20200601001767

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 AddressPractice 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

Reviews and Comments


Nurse Practitioner Nurses in Sunray, TX


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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.