Han S Kim, DMD in Fort Meade, MD - Medicare Dentist Provider

Han S Kim, DMD is a medicare enrolled "Dentist - Periodontics" provider in Fort Meade, Maryland. His current practice location is 2480 Llewellyn Ave, Fort Meade, Maryland. You can reach out to his office (for appointments etc.) via phone at (310) 993-1836.

Han S Kim is licensed to practice in California (license number 65331) 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 1861946683.

Contact Information

	Han S Kim, DMD
	2480 Llewellyn Ave, Fort Meade, MD 20755-7081
	(310) 993-1836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Han S Kim
Gender	Male
Speciality	Dentist - Periodontics
Location	2480 Llewellyn Ave, Fort Meade, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861946683
Provider Enumeration Date: 08/10/2016
Last Update Date: 08/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9739467325
Enrollment ID: I20161102001792

Medical Identifiers

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

Identifier	Type	State	Issuer
1861946683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	65331 (California)	Secondary
1223P0300X	Dentist - Periodontics	65331 (California)	Primary

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. Han S 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
Han S Kim, DMD 1040 Flynn Rd, Camarillo, CA 93012-5092 Ph: (805) 673-3930	Han S Kim, DMD 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 Ph: (310) 993-1836

Reviews and Comments

Dentist in Fort Meade, MD

Dr. Mary Elizabeth Rondeau, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8472 Simmond St, Fort Meade, MD 20755 Phone: 301-677-6078
Dr. James Michael Giesen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Fort Meade Dental Activity, 8476 Simonds St, Fort Meade, MD 20755 Phone: 301-677-6122
Dr. John E Garnette, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8472 Simonds St, Fort Meade, MD 20755 Phone: 301-677-6078
Dr. Keith A. Wunsch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8472 Simmond St, Fort Meade, MD 20755 Phone: 301-677-7971 Fax: 301-677-6678
Daniel Jospeh Iredale, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8472 Simmond St, Fort Meade, MD 20755 Phone: 301-677-6078
James J Jeong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8476 Simmond St, Fort Meade, MD 20755 Phone: 301-677-6122
Dr. Joshua Craig Willens, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2480 Llewellyn Ave, Fort Meade, MD 20755 Phone: 301-677-8227

Han S Kim, DMD - Medicare Dentist in Fort Meade, MD