So Kim, FNP-C in O Fallon, MO - Medicare Nurse Practitioner

So Kim, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Missouri. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Kansas Pa and her current practice location is 3002 Highway K, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

So Kim is licensed to practice in Missouri (license number 2016034713) 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 1285183723.

Contact Information

	So Kim, FNP-C
	3002 Highway K, O Fallon, MO 63368-8675
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	So Kim
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	3002 Highway K, O Fallon, Missouri
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:

So Kim graduated from nursing school in 2002

NPI Data:

NPI Number: 1285183723
Provider Enumeration Date: 09/26/2016
Last Update Date: 12/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2961777016
Enrollment ID: I20170929001073

Medical Identifiers

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

Identifier	Type	State	Issuer
1285183723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2016034713 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Of Kansas Pa	7416043807	97

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. So Kim allows following entities to bill medicare on her behalf.

Entity Name	Interventional Center For Pain
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508067208 PECOS PAC ID: 8921904129 Enrollment ID: O20050302000074

Entity Name	Minuteclinic Diagnostic Of Kansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629005558 PECOS PAC ID: 7416043807 Enrollment ID: O20071017000125

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. So 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
So Kim, FNP-C 3002 Highway K, O Fallon, MO 63368-8675 Ph: (866) 389-2727	So Kim, FNP-C 3002 Highway K, O Fallon, MO 63368-8675 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9209 Phoenix Village Pkwy, O Fallon, MO 63368 Phone: 636-561-4613 Fax: 636-561-4610
Leah W Wangui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 Mystic Cv, O Fallon, MO 63368 Phone: 314-583-4665
Mrs. Dawn Marie Johns, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 N Main St, O Fallon, MO 63366 Phone: 314-687-2731
Brooke Lauren Meyer, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Winding Woods Dr Ste 101, O Fallon, MO 63366 Phone: 636-978-7902
Mrs. Christina Marie Ivy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368 Phone: 636-248-8072
Elizabeth Vollmar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Highway K, O Fallon, MO 63366 Phone: 636-379-6363
Gloria Michelle Paul Edacheril, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368 Phone: 636-344-2400 Fax: 636-344-2401

So Kim, FNP-C - Medicare Nurse Practitioner in O Fallon, MO