Andy Young Jin Kim, NP - Medicare Nurse Practitioner in Charlotte, NC

Andy Young Jin Kim, NP is a medicare enrolled "Nurse Practitioner" physician in Charlotte, North Carolina. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is 101 E W T Harris Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 863-9850.

Andy Young Jin Kim is licensed to practice in North Carolina (license number 5012016) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023661014.

Contact Information

Andy Young Jin Kim, NP
101 E W T Harris Blvd,
Charlotte, NC 28262-3485
(704) 863-9850
Not Available



Physician's Profile

Full NameAndy Young Jin Kim
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location101 E W T Harris Blvd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andy Young Jin Kim graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1023661014
  • Provider Enumeration Date: 07/19/2019
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597097196
  • Enrollment ID: I20191031001913

Medical Identifiers

Medical identifiers for Andy Young Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023661014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0300XInternal Medicine - Geriatric Medicine 5012016 (North Carolina)Secondary
363L00000XNurse Practitioner 5012016 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551613

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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. Andy Young Jin Kim allows following entities to bill medicare on his behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455

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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. Andy Young Jin 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 AddressPractice Location Address
Andy Young Jin Kim, NP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Andy Young Jin Kim, NP
101 E W T Harris Blvd,
Charlotte, NC 28262-3485

Ph: (704) 863-9850

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