Andrew Kim, DMD in Shreveport, LA - Medicare Dentist Provider

Andrew Kim, DMD is a medicare enrolled "Dentist" provider in Shreveport, Louisiana. His current practice location is 1501 Kings Hwy, Oral Surgery, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 626-0555.

Andrew Kim is licensed to practice in Texas (license number 35913) 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 1831621234.

Contact Information

	Andrew Kim, DMD
	1501 Kings Hwy, Oral Surgery, Shreveport, LA 71103-4228
	(318) 626-0555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Kim
Gender	Male
Speciality	Dentist
Location	1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831621234
Provider Enumeration Date: 04/03/2017
Last Update Date: 03/18/2022

Medicare PECOS Information:

PECOS PAC ID: 8022381656
Enrollment ID: I20220317002177

Medical Identifiers

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

Identifier	Type	State	Issuer
1831621234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	35913 (Texas)	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	La Esperanza Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770584187 PECOS PAC ID: 7416942933 Enrollment ID: O20040415000585

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, DMD 1501 Kings Hwy, Oral Surgery, Shreveport, LA 71103-4228 Ph: (318) 626-0555	Andrew Kim, DMD 1501 Kings Hwy, Oral Surgery, Shreveport, LA 71103-4228 Ph: (318) 626-0555

Reviews and Comments

Dentist in Shreveport, LA

Dr. Jared Michael Boyd, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2042 Line Ave, Shreveport, LA 71104 Phone: 318-425-5356 Fax: 318-674-2898
Nadia Mohammadi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7251 Youree Dr, Shreveport, LA 71105 Phone: 318-239-1638
Dr. Rufus Vardis Loud, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2701 Frederick St, Shreveport, LA 71109 Phone: 318-631-3464 Fax: 318-631-3464
Dr. John Eric Monsour, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 275 Kayla St, Suite 200, Shreveport, LA 71105 Phone: 318-865-4382 Fax: 318-865-4386
Dr. Gregory Neil Bane, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave Bldg 57, Shreveport, LA 71101 Phone: 318-221-8411
Dr. James Richard Brown Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 North Market Street, Shreveport, LA 71107 Phone: 318-424-6405 Fax: 318-424-1599
Dr. Sharon Denise Sims, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3546 Greenwood Rd, Shreveport, LA 71109 Phone: 318-631-1100 Fax: 318-631-1127

Andrew Kim, DMD - Medicare Dentist in Shreveport, LA