Won Young Kim, DDS in Loma Linda, CA - Medicare Dentist Provider

Won Young Kim, DDS is a medicare enrolled "Dentist" provider in Loma Linda, California. His current practice location is 11064 Mesquite Ave, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (269) 277-3847.

Won Young Kim is licensed to practice in California (license number DDS100455) 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 1740737550.

Contact Information

	Won Young Kim, DDS
	11064 Mesquite Ave, Loma Linda, CA 92354
	(269) 277-3847
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Won Young Kim
Gender	Male
Speciality	Dentist
Location	11064 Mesquite Ave, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740737550
Provider Enumeration Date: 09/09/2016
Last Update Date: 09/09/2016

Medicare PECOS Information:

PECOS PAC ID: 9335570977
Enrollment ID: I20200514000638

Medical Identifiers

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

Identifier	Type	State	Issuer
1740737550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DDS100455 (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. Won Young Kim allows following entities to bill medicare on his behalf.

Entity Name	Anthony Hung Cao Dds A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164514220 PECOS PAC ID: 7911241765 Enrollment ID: O20181205000198

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. Won Young 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
Won Young Kim, DDS 11064 Mesquite Ave, Loma Linda, CA 92354-6555 Ph: (269) 277-3847	Won Young Kim, DDS 11064 Mesquite Ave, Loma Linda, CA 92354 Ph: (269) 277-3847

Reviews and Comments

Dentist in Loma Linda, CA

Tina Mieun Park-lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 26554 Amherst Ct, Loma Linda, CA 92354 Phone: 909-769-8077
Dr. Robert D Kiger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Dental Service 160, Loma Linda Vamc, Loma Linda, CA 92357 Phone: 909-583-6127
Dr. Gi Sun Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10935 Rincon St, Loma Linda, CA 92354 Phone: 909-967-3623
David Roquiz, Dentist Medicare: Medicare Enrolled Practice Location: 11132 Morningstar Pl, Loma Linda, CA 92354 Phone: 863-414-0752
Paul Jung, DDS MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson St Rm 3306, Loma Linda, CA 92350 Phone: 909-558-4671
Dr. Jeffrey Martin Henkin, DDS, MS, FICD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24860 Taylor St, Loma Linda, CA 92350 Phone: 909-558-4610 Fax: 909-558-4801
Jessica Junghwa Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11092 Anderson Street, Llu School Of Dentistry, Loma Linda, CA 95350 Phone: 909-558-4613 Fax: 909-558-4192

Won Young Kim, DDS - Medicare Dentist in Loma Linda, CA