Miri Kim, PA-C in Woodbridge, VA - Medicare Physician Assistant

Miri Kim, PA-C is a medicare enrolled "Physician Assistant - Medical" in Woodbridge, Virginia. Her current practice location is 2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 523-1000.

Miri Kim is licensed to practice in Virginia (license number 0110-005833) 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 1235650268.

Contact Information

	Miri Kim, PA-C
	2300 Opitz Blvd, Woodbridge, VA 22191-3311
	(703) 523-1000
	Not Available

Provider's Profile

Full Name	Miri Kim
Gender	Female
Speciality	Physician Assistant - Medical
Location	2300 Opitz Blvd, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235650268
Provider Enumeration Date: 06/29/2017
Last Update Date: 07/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4789950353
Enrollment ID: I20171026000662

Medical Identifiers

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

Identifier	Type	State	Issuer
1235650268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110-005833 (Virginia)	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 Address	Practice Location Address
Miri Kim, PA-C 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 523-1000	Miri Kim, PA-C 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 523-1000

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Physician Assistant Nurses in Woodbridge, VA

Christopher Rowley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14900 Potomac Town Pl Ste 110, Woodbridge, VA 22191 Phone: 540-351-0662
Melissa Haug, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191 Phone: 703-490-1112
Cassandra J Vazquez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Tairy Adams Johnson, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1504
Sean T Robinson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2022 Opitz Blvd Ste B, Woodbridge, VA 22191 Phone: 571-398-2341 Fax: 571-398-6388
Samantha Lauren Snider, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Tanya C. Belliard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14416 Jefferson Davis Hwy, Woodbridge, VA 22191 Phone: 703-490-8200 Fax: 703-490-8225

Miri Kim, PA-C - Medicare Physician Assistant in Woodbridge, VA