Scott Yung Kim, is a medicare enrolled "Dentist" physician in Los Angeles, California. His current practice location is
5427 Whittier Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 895-3007.
Scott Yung Kim is licensed to practice in New York (license number 318268) 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 1518008804.
Physician's Profile
| Full Name | Scott Yung Kim |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 5427 Whittier Blvd, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518008804
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8820157670
- Enrollment ID: I20221010002338
Medical Identifiers
Medical identifiers for Scott Yung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518008804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RI0200X | Internal Medicine - Infectious Disease | A103509 (California) | Secondary |
| 122300000X | Dentist | 318268 (New York) | 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. Scott Yung Kim allows following entities to bill medicare on his behalf.
| Entity Name | Harmony Health Care Long Island |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
|---|
| Entity Name | Long Island Select Healthcare, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247 |
|---|
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. Scott Yung 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 |
Scott Yung Kim, 17 Durham Dr, Dix Hills, NY 11746-5310 Ph: (323) 895-3007 | Scott Yung Kim, 5427 Whittier Blvd, Los Angeles, CA 90022-4101 Ph: (323) 895-3007 |
Reviews and Comments