Jeong Hye Kim, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Schererville, Indiana. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Community Care Network Inc and her current practice location is
1545 W Us Hwy 30, Schererville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 703-2447.
Jeong Hye Kim is licensed to practice in Indiana (license number 20043798A) 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 1033808712.
Healthcare Provider's Profile
| Full Name | Jeong Hye Kim |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 4 Years |
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| Location | 1545 W Us Hwy 30, Schererville, Indiana |
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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. |
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Medical Education and Training:
- Jeong Hye Kim graduated from medical school in 2021
NPI Data:
- NPI Number: 1033808712
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002254752
- Enrollment ID: I20240401002719
Medical Identifiers
Medical identifiers for Jeong Hye Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033808712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 20043798A (Indiana) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 20043798A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Care Network Inc | 3678737012 | 355 |
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. Jeong Hye Kim allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331 |
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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. Jeong Hye 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 |
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Jeong Hye Kim, PHD
8558 Broadway,
Merrillville, IN 46410-7032
Ph: (219) 392-7084 | Jeong Hye Kim, PHD
1545 W Us Hwy 30,
Schererville, IN 46375
Ph: (219) 703-2447 |
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