Selena Kim, in Atlanta, GA - Medicare Anesthesiologist Assistant

Selena Kim, is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. Her current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 616-1000.

Selena Kim is licensed to practice in * (Not Available) (license number ) 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 1013562883.

Contact Information

	Selena Kim,
	80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031
	(404) 616-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Selena Kim
Gender	Female
Speciality	Anesthesiologist Assistant
Location	80 Jesse Hill Jr Dr Se, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013562883
Provider Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 9234553256
Enrollment ID: I20210603000395

Medical Identifiers

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

Identifier	Type	State	Issuer
1013562883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	(* (Not Available))	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. Selena Kim allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

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. Selena 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
Selena Kim, 3140 Chestnut Woods Dr, Atlanta, GA 30340-3245 Ph: (407) 810-3700	Selena Kim, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 616-1000

Reviews and Comments

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Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362
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Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496

Selena Kim, - Medicare Anesthesiologist Assistant in Atlanta, GA