Andrew Taeho Kim, in Lomita, CA - Medicare Physical Therapist Provider

Andrew Taeho Kim, is a medicare enrolled "Physical Therapist" provider in Lomita, California. His current practice location is 2235 241st St Apt 6, Lomita, California. You can reach out to his office (for appointments etc.) via phone at (310) 800-5614.

Andrew Taeho Kim is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386157816.

Contact Information

	Andrew Taeho Kim,
	2235 241st St Apt 6, Lomita, CA 90717-1062
	(310) 800-5614
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Taeho Kim
Gender	Male
Speciality	Physical Therapist
Location	2235 241st St Apt 6, Lomita, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386157816
Provider Enumeration Date: 11/06/2017
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 4789948381
Enrollment ID: I20180508000710

Medical Identifiers

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

Identifier	Type	State	Issuer
1386157816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (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. Andrew Taeho Kim allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Provider Name	Manhattan Beach Pacific Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396799458 PECOS PAC ID: 4587619457 Enrollment ID: O20050314001147

Provider Name	Davis And Derosa Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558414102 PECOS PAC ID: 7113954264 Enrollment ID: O20050720001074

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. Andrew Taeho 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
Andrew Taeho Kim, 2235 241st St Apt 6, Lomita, CA 90717-1062 Ph: () -	Andrew Taeho Kim, 2235 241st St Apt 6, Lomita, CA 90717-1062 Ph: (310) 800-5614

Reviews and Comments

Physical Therapist in Lomita, CA

Mrs. Naomi Linda Hoshizaki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Pacific Coast Highway, St. S, Lomita, CA 90717 Phone: 310-257-6279
Replenish Physical Therapy & Dance Performance Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25830 Oak St Unit 7, Lomita, CA 90717 Phone: 310-922-3526
Ms. Thelma None Neri, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Pacific Coast Hwy, Suite S, Lomita, CA 90717 Phone: 310-257-6493 Fax: 310-257-6295
Mr. Rolando Maravilla Justiniani, BACHELOR OF SCIENCE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1955 Lomita Blvd, Lomita, CA 90717 Phone: 310-325-1970
Marti Neil Perez Tumamak, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1709 253rd St, Lomita, CA 90717 Phone: 310-530-7236
Ms. Tanjay Marie Castro, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24203 Alliene Ave, Lomita, CA 90717 Phone: 323-717-9196

Andrew Taeho Kim, - Medicare Physical Therapist in Lomita, CA