Andrew Kim, DDS in Wilmington, CA - Medicare Dentist Provider

Andrew Kim, DDS is a medicare enrolled "Dentist" provider in Wilmington, California. His current practice location is 200 E Anaheim St, Wilmington, California. You can reach out to his office (for appointments etc.) via phone at (424) 210-4400.

Andrew Kim is licensed to practice in California (license number 100615) 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 1922485408.

Contact Information

	Andrew Kim, DDS
	200 E Anaheim St, Wilmington, CA 90744-4516
	(424) 210-4400
	(424) 368-6683

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Kim
Gender	Male
Speciality	Dentist
Location	200 E Anaheim St, Wilmington, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922485408
Provider Enumeration Date: 05/04/2015
Last Update Date: 09/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7719218320
Enrollment ID: I20191014000911

Medical Identifiers

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

Identifier	Type	State	Issuer
1922485408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	100615 (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. Andrew Kim allows following entities to bill medicare on his behalf.

Entity Name	Northeast Community Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700097540 PECOS PAC ID: 5193710275 Enrollment ID: O20040417000619

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. Andrew 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
Andrew Kim, DDS 2550 W Main St Ste 301, Alhambra, CA 91801-7003 Ph: (626) 457-6900	Andrew Kim, DDS 200 E Anaheim St, Wilmington, CA 90744-4516 Ph: (424) 210-4400

Reviews and Comments

Dentist in Wilmington, CA

Tuankiet Quoc Ly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1610 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-3131
Dr. Donald H Youn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 851 W Pacific Coast Hwy, Wilmington, CA 90744 Phone: 310-830-3620 Fax: 310-830-3534
Michelle Brown, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 E Anaheim St, Wilmington, CA 90744 Phone: 626-457-6900
Dr. Benjamin Bao Le, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1702 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-835-0251 Fax: 310-835-1690
Lourdes Uysingco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 934 N Avalon Blvd, Wilmington, CA 90744 Phone: 310-834-5525 Fax: 310-834-5540
Dr. Jenevie Pham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1239 N Avalon Blvd # A, Wilmington, CA 90744 Phone: 714-417-8283
Dr. Philip Cheng, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1355 Broad Ave, Wilmington, CA 90744 Phone: 562-228-6246

Andrew Kim, DDS - Medicare Dentist in Wilmington, CA