Dr Seongryeol Albert Kim, DDS in Silverdale, WA

Dr Seongryeol Albert Kim, DDS is a medicare enrolled "Dentist" provider in Silverdale, Washington. His current practice location is 3505 Nw Anderson Hill Rd, Silverdale, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 337-1780.

Dr Seongryeol Albert Kim is licensed to practice in Illinois (license number 019028319) 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 1154487445.

Contact Information

	Dr Seongryeol Albert Kim, DDS
	3505 Nw Anderson Hill Rd, Silverdale, WA 98383-9161
	(360) 337-1780
	(309) 243-8188

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Seongryeol Albert Kim
Gender	Male
Speciality	Dentist
Location	3505 Nw Anderson Hill Rd, Silverdale, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154487445
Provider Enumeration Date: 12/29/2006
Last Update Date: 06/23/2010

Medicare PECOS Information:

PECOS PAC ID: 8628109147
Enrollment ID: I20200413002162

Medical Identifiers

Medical identifiers for Dr Seongryeol Albert Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154487445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE00010423 (Washington)	Secondary
122300000X	Dentist	019028319 (Illinois)	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 Seongryeol Albert Kim allows following entities to bill medicare on his behalf.

Entity Name	Star Dental Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881255107 PECOS PAC ID: 1153751243 Enrollment ID: O20200413001607

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 Seongryeol Albert 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 Seongryeol Albert Kim, DDS 11825 N Knoxville Ave, Dunlap, IL 61525 Ph: (309) 243-1541	Dr Seongryeol Albert Kim, DDS 3505 Nw Anderson Hill Rd, Silverdale, WA 98383-9161 Ph: (360) 337-1780

Reviews and Comments

Dentist in Silverdale, WA

Lena Fusa Ogiwara, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383 Phone: 360-377-3776
Mr. Scott W Stewart, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2021 Nw Myhre Pl, Suite 107, Silverdale, WA 98383 Phone: 360-692-1134 Fax: 360-613-2787
Dr. James P Drew, D.D.S.,PLLC Dentist Medicare: Not Enrolled in Medicare Practice Location: 9395 Linder Way Nw Ste 102, Silverdale, WA 98383 Phone: 360-698-3588 Fax: 360-698-3650
Dr. Frederick Gilbert Young, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 Barb St, Suite B, Silverdale, WA 98315 Phone: 360-315-4287
John L Gibbons, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9692 Levin Rd Nw, 202, Silverdale, WA 98383 Phone: 360-698-2323
Dr. Mark R Heinemann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9633 Levin Rd Nw, Suite 206, Silverdale, WA 98383 Phone: 360-692-3030 Fax: 360-692-7720
Steven M Haws, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3637 Nw Byron St, Silverdale, WA 98383 Phone: 360-692-9560 Fax: 360-692-1729

Dr Seongryeol Albert Kim, DDS - Medicare Dentist in Silverdale, WA