Samuel Kim, - Medicare Nurse Practitioner in Weimar, CA

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Samuel Kim, is a medicare enrolled "Nurse Practitioner - Family" in Weimar, California. His current practice location is 20601 West Paoli Ln, Weimar, California. You can reach out to his office (for appointments etc.) via phone at (530) 637-4025.

Samuel Kim is licensed to practice in California (license number 95028798) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750146536.

Contact Information

Samuel Kim,
20601 West Paoli Ln,
Weimar, CA 95736
(530) 637-4025
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Kim
GenderMale
SpecialityNurse Practitioner - Family
Location20601 West Paoli Ln, Weimar, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750146536
  • Provider Enumeration Date: 02/20/2024
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375984537
  • Enrollment ID: I20240518000605

Medical Identifiers

Medical identifiers for Samuel Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750146536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95028798 (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. Samuel Kim allows following entities to bill medicare on his behalf.
Entity NameNewstart Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588072698
PECOS PAC ID: 8628299799
Enrollment ID: O20141015001437

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. Samuel 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
Samuel Kim,
20601 West Paoli Ln,
Weimar, CA 95736

Ph: (530) 637-4025		Samuel Kim,
20601 West Paoli Ln,
Weimar, CA 95736

Ph: (530) 637-4025

Reviews and Comments


Nurse Practitioner Nurses in Weimar, CA

Kerstin Leah Ashby Ferguson, RN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20601 W. Paoli Lane, Weimar, CA 95736
Phone: 530-637-4025    
Brian Glass, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20601 W. Paoli Lane, Weimar, CA 95736
Phone: 559-797-0232    
Samantha Abbade, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20601 West Paoli Lane, Weimar, CA 95736
Phone: 530-296-4417    

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.