Selena Kim, - Medicare Anesthesiologist Assistant in Atlanta, GA

Selena Kim, is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. Her current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 616-1000.

Selena 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 1013562883.

Contact Information

Selena Kim,
80 Jesse Hill Jr Dr Se,
Atlanta, GA 30303-3031
(404) 616-1000
Not Available



Provider's Profile

Full NameSelena Kim
GenderFemale
SpecialityAnesthesiologist Assistant
Location80 Jesse Hill Jr Dr Se, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013562883
  • Provider Enumeration Date: 08/07/2019
  • Last Update Date: 08/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9234553256
  • Enrollment ID: I20210603000395

Medical Identifiers

Medical identifiers for Selena Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013562883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))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. Selena Kim allows following entities to bill medicare on her behalf.
Entity NameGrady Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114243813
PECOS PAC ID: 7517032998
Enrollment ID: O20100723000311

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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. Selena 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
Selena Kim,
3140 Chestnut Woods Dr,
Atlanta, GA 30340-3245

Ph: (407) 810-3700
Selena Kim,
80 Jesse Hill Jr Dr Se,
Atlanta, GA 30303-3031

Ph: (404) 616-1000

News Archive

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EpiCept Corporation today announced that it has received initial written responses from the U.S. Food and Drug Administration regarding the Company's application for a Special Protocol Assessment (SPA) of the Ceplene (histamine dihydrochloride) Phase III protocol.

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Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322
Phone: 404-785-6670    Fax: 404-785-1362
Elizabeth Ikeda,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-8311    
Amar R Herndon,
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342
Phone: 770-645-9181    
Shelley S Staton, PAAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342
Phone: 770-645-9181    Fax: 770-645-8455
Mr. Grant Michael Mury, PAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308
Phone: 404-778-3900    
Ashley Schade, PAAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342
Phone: 706-543-3449    
Jiaqi Tracy Li, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342
Phone: 404-785-2008    Fax: 404-785-4496

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