Gina Kim, MOT, OTR/L, CBIS in Santa Monica, CA - Medicare Occupational Therapist Provider

Gina Kim, MOT, OTR/L, CBIS is a medicare enrolled "Occupational Therapist" provider in Santa Monica, California. Her current practice location is 1301 20th St Ste 300a, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 582-7111.

Gina Kim is licensed to practice in California (license number 15535) 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 1225434962.

Contact Information

	Gina Kim, MOT, OTR/L, CBIS
	1301 20th St Ste 300a, Santa Monica, CA 90404-2050
	(310) 582-7111
	(310) 315-4069

Map and Direction

Healthcare Provider's Profile

Full Name	Gina Kim
Gender	Female
Speciality	Occupational Therapist
Location	1301 20th St Ste 300a, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225434962
Provider Enumeration Date: 11/07/2014
Last Update Date: 07/02/2024

Medicare PECOS Information:

PECOS PAC ID: 2860753431
Enrollment ID: I20180221002622

Medical Identifiers

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

Identifier	Type	State	Issuer
1225434962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	15535 (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. Gina Kim allows following entities to bill medicare on her behalf.

Provider Name	Providence Saint Johns Medical Foundation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Gina 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
Gina Kim, MOT, OTR/L, CBIS 16542 Ventura Blvd Ste 500, Encino, CA 91436 Ph: (818) 783-3800	Gina Kim, MOT, OTR/L, CBIS 1301 20th St Ste 300a, Santa Monica, CA 90404-2050 Ph: (310) 582-7111

Reviews and Comments

Occupational Therapist in Santa Monica, CA

Jacquelyn Marie Derian Boebel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2331 20th St Apt 3, Santa Monica, CA 90405 Phone: 858-722-3627
Kimberly Easton, OTD OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 10th St Apt 310, Santa Monica, CA 90403 Phone: 310-650-3637
Zack Elias Pinto, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276
Bryan Morales, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 805-914-4056
Abigail Rachel Leven, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276
Julie James Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 9th St Apt 307, Santa Monica, CA 90403 Phone: 310-699-1202
Roseanne Sofia Evangelista Blanco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276

Gina Kim, MOT, OTR/L, CBIS - Medicare Occupational Therapist in Santa Monica, CA