Sora Kim, FNP in Elmhurst, NY - Medicare Nurse Practitioner

Sora Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Elmhurst, New York. Her current practice location is 7901 Broadway # D10-36, Elmhurst, New York. You can reach out to her office (for appointments etc.) via phone at (718) 334-3570.

Sora Kim is licensed to practice in New York (license number F339216) 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 1124403662.

Contact Information

	Sora Kim, FNP
	7901 Broadway # D10-36, Elmhurst, NY 11373-1329
	(718) 334-3570
	(718) 334-5006

Map and Direction

Provider's Profile

Full Name	Sora Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7901 Broadway # D10-36, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124403662
Provider Enumeration Date: 07/27/2015
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2769781954
Enrollment ID: I20160421001773

Medical Identifiers

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

Identifier	Type	State	Issuer
1124403662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F339216 (New York)	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. Sora Kim allows following entities to bill medicare on her behalf.

Entity Name	New York City Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521

Entity Name	Essen Medical Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885

Entity Name	House Call Medical Services Of New York Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851345946 PECOS PAC ID: 2264517754 Enrollment ID: O20080307000427

Entity Name	Clear Choice Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285155499 PECOS PAC ID: 1759636491 Enrollment ID: O20180620001586

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. Sora 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
Sora Kim, FNP 7901 Broadway # D10-36, Elmhurst, NY 11373-1329 Ph: (718) 334-3570	Sora Kim, FNP 7901 Broadway # D10-36, Elmhurst, NY 11373-1329 Ph: (718) 334-3570

Reviews and Comments

Nurse Practitioner Nurses in Elmhurst, NY

Carlota Gabriel Antonio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-2424 Fax: 718-334-5958
Tenzin Chodon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D1-05, Elmhurst, NY 11373 Phone: 718-334-2488 Fax: 718-334-5006
Ms. Flordeliz Orticio Jorge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Ms. Sheung-chi Ng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373 Phone: 718-334-1921 Fax: 718-334-5958
Ms. Michelle Malesa Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Magdalena Anna Zavala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000
Bibi Ali-mohamed, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000

Sora Kim, FNP - Medicare Nurse Practitioner in Elmhurst, NY