Carlen Eva Kim, in Thousand Oaks, CA - Medicare Audiologist Provider

Carlen Eva Kim, is a medicare enrolled "Audiologist" provider in Thousand Oaks, California. Her current practice location is 100 Moody Ct Ste 110, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at (310) 825-5721.

Carlen Eva Kim is licensed to practice in California (license number AU2134) 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 1215188693.

Contact Information

	Carlen Eva Kim,
	100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076
	(310) 825-5721
	Not Available

Healthcare Provider's Profile

Full Name	Carlen Eva Kim
Gender	Female
Speciality	Audiologist
Location	100 Moody Ct Ste 110, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215188693
Provider Enumeration Date: 10/03/2008
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7911133004
Enrollment ID: I20131119002053

Medical Identifiers

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

Identifier	Type	State	Issuer
1215188693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	2134 (California)	Secondary
231H00000X	Audiologist	AU2134 (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. Carlen Eva Kim allows following entities to bill medicare on her behalf.

Provider Name	Regents Of The University Of California Los Angeles
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609194497 PECOS PAC ID: 4587857727 Enrollment ID: O20101020001402

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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. Carlen Eva 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
Carlen Eva Kim, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Carlen Eva Kim, 100 Moody Ct Ste 110, Thousand Oaks, CA 91360-6076 Ph: (310) 825-5721

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Audiologist in Thousand Oaks, CA

Dr. Gina Gracia, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721
Emily Teresa Darchangelo, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824
Rachael Athenia Krager Salin, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721
Elizabeth Agboola, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 100 Moody Ct Ste 110, Thousand Oaks, CA 91360 Phone: 310-825-5721 Fax: 310-825-3344
Dr. Carolann O'rourke, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 555 Marin St, Thousand Oaks, CA 91360 Phone: 818-746-7655
Dr. Steven Zurawski, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 301 S Moorpark Rd, Thousand Oaks, CA 91361 Phone: 805-379-0824

Carlen Eva Kim, - Medicare Audiologist in Thousand Oaks, CA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Audiologist in Thousand Oaks, CA