Nancy Ann Kim, PHD in Carlsbad, CA - Medicare Psychologist Provider

Nancy Ann Kim, PHD is a medicare enrolled "Psychologist - Clinical" provider in Carlsbad, California. Her current practice location is 3247 Camino De Los Coches Ste 200, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at (760) 452-6387.

Nancy Ann Kim is licensed to practice in California (license number PSY14342) 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 1205882388.

Contact Information

	Nancy Ann Kim, PHD
	3247 Camino De Los Coches Ste 200, Carlsbad, CA 92009-8970
	(760) 452-6387
	(833) 330-2628

Map and Direction

Healthcare Provider's Profile

Full Name	Nancy Ann Kim
Gender	Female
Speciality	Psychologist - Clinical
Location	3247 Camino De Los Coches Ste 200, Carlsbad, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205882388
Provider Enumeration Date: 05/26/2006
Last Update Date: 08/30/2025

Medicare PECOS Information:

PECOS PAC ID: 1850303082
Enrollment ID: I20060706000426

Medical Identifiers

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

Identifier	Type	State	Issuer
1205882388	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY14342 (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. Nancy Ann Kim allows following entities to bill medicare on her behalf.

Entity Name	Oluseyi Awodele Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326792128 PECOS PAC ID: 0941683031 Enrollment ID: O20220823002051

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. Nancy Ann 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
Nancy Ann Kim, PHD Po Box 45182, San Diego, CA 92145 Ph: (916) 622-1025	Nancy Ann Kim, PHD 3247 Camino De Los Coches Ste 200, Carlsbad, CA 92009-8970 Ph: (760) 452-6387

Reviews and Comments

Psychologist in Carlsbad, CA

Mrs. Ellen Margaret Balsys-murphy, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7728 Calina Way, Carlsbad, CA 92009 Phone: 760-633-1433
Dr. Stephanie Tamara Ho, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2725 Jefferson St Ste 6-103, Carlsbad, CA 92008 Phone: 760-688-9364
Dr. Dilrani Bhadare, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5838 Edison Pl Ste 100, Carlsbad, CA 92008 Phone: 707-331-0739
Gyoung-jean Jho, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3081 Madison St, Carlsbad, CA 92008 Phone: 760-334-6262
Dr. Andrea Lau Kao, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5838 Edison Pl Ste 100, Carlsbad, CA 92008 Phone: 760-300-3664
Dr. Marsha Lee Herman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2725 Jefferson St, Ste 14, Carlsbad, CA 92008 Phone: 760-434-5900 Fax: 760-434-9778
Dr. Karen Gail Shore, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2322 Byron Pl, Carlsbad, CA 92008 Phone: 310-490-7601

Nancy Ann Kim, PHD - Medicare Psychologist in Carlsbad, CA