Miri Kim, - Medicare Student in an Organized Health Care Education/Training Program in New Haven, CT

Miri Kim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. Her current practice location is 20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 688-4242.

Miri Kim is licensed to practice in * (Not Available) (license number ) 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 1376997197.

Contact Information

Miri Kim,
20 York St,
New Haven, CT 06510-3220
(203) 688-4242
Not Available



Physician's Profile

Full NameMiri Kim
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location20 York St, New Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376997197
  • Provider Enumeration Date: 04/18/2016
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183918329
  • Enrollment ID: I20160810001286

Medical Identifiers

Medical identifiers for Miri Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376997197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 125069508 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

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. Miri 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
Miri Kim,
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242
Miri Kim,
20 York St,
New Haven, CT 06510-3220

Ph: (203) 688-4242

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