Dr Shanna Kyungmi Kim, DDS in Reno, NV - Medicare Oral Surgery Provider

Dr Shanna Kyungmi Kim, DDS is a medicare enrolled "Dentist - Orofacial Pain" provider in Reno, Nevada. She went to Univ Of Calif, Los Angeles School Of Dentistry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Oral Surgery. Her current practice location is 601 W Moana Ln Ste 6, Reno, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 583-7755.

Dr Shanna Kyungmi Kim is licensed to practice in Nevada (license number 7344) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710282272.

Contact Information

	Dr Shanna Kyungmi Kim, DDS
	601 W Moana Ln Ste 6, Reno, NV 89509-4959
	(775) 583-7755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shanna Kyungmi Kim
Gender	Female
Speciality	Oral Surgery
Experience	13 Years
Location	601 W Moana Ln Ste 6, Reno, Nevada
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shanna Kyungmi Kim attended and graduated from Univ Of Calif, Los Angeles School Of Dentistry in 2011

NPI Data:

NPI Number: 1710282272
Provider Enumeration Date: 01/14/2011
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9032370465
Enrollment ID: I20211122002238

Medical Identifiers

Medical identifiers for Dr Shanna Kyungmi Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710282272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D008160 (Arizona)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	7344 (Nevada)	Secondary
1223X2210X	Dentist - Orofacial Pain	7344 (Nevada)	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 Shanna Kyungmi Kim allows following entities to bill medicare on her behalf.

Entity Name	Jason Champagne Ii Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538835871 PECOS PAC ID: 5193114601 Enrollment ID: O20211122001824

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 Shanna Kyungmi 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 Shanna Kyungmi Kim, DDS 601 W Moana Ln Ste 6, Reno, NV 89509-4959 Ph: (775) 583-7755	Dr Shanna Kyungmi Kim, DDS 601 W Moana Ln Ste 6, Reno, NV 89509-4959 Ph: (775) 583-7755

Reviews and Comments

Dentist in Reno, NV

Gerald M York, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 855 W 7th St, Suite #5, Reno, NV 89503 Phone: 775-322-5016 Fax: 775-329-0510
Dr. Peggy D. Preston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3502 S Virginia St, Suite A4, Reno, NV 89502 Phone: 775-827-8808 Fax: 775-827-9297
Dr. Nicole Michelle Stoker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 Baker Ln Ste 1, Reno, NV 89509 Phone: 775-825-1000 Fax: 775-826-3030
Megan Archer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10595 Double R Blvd, Reno, NV 89521 Phone: 775-825-8463
Monica Tricia Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6350 Mae Anne Ave, Ste #1, Reno, NV 89523 Phone: 775-787-2600
Dr. Jason L Sala, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4875 Summit Ridge Drive, Reno, NV 89523 Phone: 775-322-2061 Fax: 775-322-2065
Dr. Derek Lyle Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 Brinkby Ave, Reno, NV 89509 Phone: 775-825-9225

Dr Shanna Kyungmi Kim, DDS - Medicare Dentist in Reno, NV