Dr Daeuk David Kim, DDS in Brea, CA - Medicare Dentist Provider

Dr Daeuk David Kim, DDS is a medicare enrolled "Dentist" provider in Brea, California. His current practice location is 144 Waterfall Ln, Brea, California. You can reach out to his office (for appointments etc.) via phone at (510) 926-9414.

Dr Daeuk David Kim is licensed to practice in California (license number 102817) 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 1356827737.

Contact Information

	Dr Daeuk David Kim, DDS
	144 Waterfall Ln, Brea, CA 92821-4348
	(510) 926-9414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daeuk David Kim
Gender	Male
Speciality	Dentist
Location	144 Waterfall Ln, Brea, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356827737
Provider Enumeration Date: 07/18/2018
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 8729313242
Enrollment ID: I20190703003063

Medical Identifiers

Medical identifiers for Dr Daeuk David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356827737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	102817 (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. Dr Daeuk David Kim allows following entities to bill medicare on his behalf.

Entity Name	Kim & Lee Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558038513 PECOS PAC ID: 7416347133 Enrollment ID: O20211210001694

Entity Name	Kim & Lee A Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588288591 PECOS PAC ID: 2466843594 Enrollment ID: O20211229000667

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. Dr Daeuk David 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
Dr Daeuk David Kim, DDS 144 Waterfall Ln, Brea, CA 92821-4348 Ph: (510) 926-9414	Dr Daeuk David Kim, DDS 144 Waterfall Ln, Brea, CA 92821-4348 Ph: (510) 926-9414

Reviews and Comments

Dentist in Brea, CA

Dr. Nooshin Katebzaheh, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 255 W Central Ave Ste 202, Brea, CA 92821 Phone: 714-529-1311
Dr. Emanuela Alexandroni, DDS Dentist Medicare: Medicare Enrolled Practice Location: 477 S Associated Rd, Suite A, Brea, CA 92821 Phone: 714-671-2922 Fax: 714-671-2924
Dr. Priscilla Ginger Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1033 E Imperial Hwy, Suite E-11, Brea, CA 92821 Phone: 714-990-9210 Fax: 714-990-5051
Dr. Kenley Hildebrand Hunt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1220 East Birch St, 102, Brea, CA 92821 Phone: 714-529-4477 Fax: 714-529-7031
Dr. Sheena Bhatia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 S Kraemer Blvd, Brea, CA 92821 Phone: 714-257-9200
Dr. Dennis Ken Chan, D.S.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1033 E Imperial Hwy, Suite E-11, Brea, CA 92821 Phone: 714-990-9210 Fax: 714-990-5051
Dr. Thomas Marks Green, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 334 S Brea Blvd, Brea, CA 92821 Phone: 714-529-9941 Fax: 714-529-9943

Dr Daeuk David Kim, DDS - Medicare Dentist in Brea, CA