Andrew Kim, DDS in Seal Beach, CA - Medicare Dentist Provider

Andrew Kim, DDS is a medicare enrolled "Dentist" provider in Seal Beach, California. His current practice location is 2311 Seal Beach Blvd Ste 102, Seal Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 799-8300.

Andrew Kim is licensed to practice in California (license number 53464) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194847939.

Contact Information

	Andrew Kim, DDS
	2311 Seal Beach Blvd Ste 102, Seal Beach, CA 90740-5623
	(562) 799-8300
	(562) 799-8302

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Kim
Gender	Male
Speciality	Dentist
Location	2311 Seal Beach Blvd Ste 102, Seal Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194847939
Provider Enumeration Date: 04/04/2007
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 0345626214
Enrollment ID: I20220929001514

Medical Identifiers

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

Identifier	Type	State	Issuer
1194847939	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	53464 (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. Andrew Kim allows following entities to bill medicare on his behalf.

Entity Name	Andrew Kim Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841913696 PECOS PAC ID: 3971989831 Enrollment ID: O20220929001118

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. Andrew 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
Andrew Kim, DDS 4300 Katella Ave, Los Alamitos, CA 90720-3563 Ph: (562) 799-8300	Andrew Kim, DDS 2311 Seal Beach Blvd Ste 102, Seal Beach, CA 90740-5623 Ph: (562) 799-8300

Reviews and Comments

Dentist in Seal Beach, CA

Kylie Wong-hazehara, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4732 Fir Ave, Seal Beach, CA 90740 Phone: 626-419-3681
Dr. Justin Cowan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12419 Seal Beach Blvd, Seal Beach, CA 90740 Phone: 562-431-0393
Diane Costandi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2999 Westminster Ave, Suite 108, Seal Beach, CA 90740 Phone: 562-431-9739
Henry Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 12419 Seal Beach Blvd, Seal Beach, CA 90740 Phone: 562-431-0393
Kendra Brooks, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 249 16th St, Seal Beach, CA 90740 Phone: 562-394-7061
Dr. Brooke Ashley Pancer, DMD, MS Dentist Medicare: Medicare Enrolled Practice Location: 2999 Westminster Blvd Seal Beach Dental Implants, Seal Beach, CA 90740 Phone: 562-431-9739 Fax: 734-763-5503

Andrew Kim, DDS - Medicare Dentist in Seal Beach, CA