Mrs Va Im, ARNP-C is a medicare enrolled "Nurse Practitioner" in Saint Petersburg,, Florida. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centerwell Senior Primary Care Fl Jv Pllc and her current practice location is
3491 34th St S, Saint Petersburg,, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 436-4508.
Mrs Va Im is licensed to practice in Florida (license number APRN9230763) 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 1396010229.
Provider's Profile
| Full Name | Mrs Va Im |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 15 Years |
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| Location | 3491 34th St S, Saint Petersburg,, Florida |
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| 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:
- Mrs Va Im graduated from nursing school in 2011
NPI Data:
- NPI Number: 1396010229
- Provider Enumeration Date: 03/09/2012
- Last Update Date: 04/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 4284866427
- Enrollment ID: I20140422001406
Medical Identifiers
Medical identifiers for Mrs Va Im such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396010229 | NPI | - | NPPES |
| 016891600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363L00000X | Nurse Practitioner | APRN9230763 (Florida) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9230763 (Florida) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Centerwell Senior Primary Care Fl Jv Pllc | 5698206167 | 25 |
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. Mrs Va Im allows following entities to bill medicare on her behalf.
| Entity Name | West Coast Primary Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528327087 PECOS PAC ID: 6709041585 Enrollment ID: O20120628000371 |
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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. Mrs Va Im 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 |
Mrs Va Im, ARNP-C 620 10th St N Ste 1e, St Petersburg, FL 33705-1407 Ph: (727) 824-3120 | Mrs Va Im, ARNP-C 3491 34th St S, Saint Petersburg,, FL 33711 Ph: (727) 436-4508 |
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