Dr Chanbo Sim, DDS in Merrillville, IN - Medicare Dentist Provider

Dr Chanbo Sim, DDS is a medicare enrolled "Dentist" provider in Merrillville, Indiana. His current practice location is 6075 Cleveland Circle, Merrillville, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 980-0319.

Dr Chanbo Sim is licensed to practice in Indiana (license number 12009372A) 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 1760543466.

Contact Information

	Dr Chanbo Sim, DDS
	6075 Cleveland Circle, Merrillville, IN 46410
	(219) 980-0319
	(219) 980-0379

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Chanbo Sim
Gender	Male
Speciality	Dentist
Location	6075 Cleveland Circle, Merrillville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760543466
Provider Enumeration Date: 12/13/2006
Last Update Date: 11/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5890098701
Enrollment ID: I20170821002326

Medical Identifiers

Medical identifiers for Dr Chanbo Sim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760543466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12009372A (Indiana)	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 Chanbo Sim allows following entities to bill medicare on his behalf.

Entity Name	Family Dental Care P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952462657 PECOS PAC ID: 8921379413 Enrollment ID: O20170801003826

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 Chanbo Sim 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 Chanbo Sim, DDS 6075 Cleveland Circle, Merrillville, IN 46410 Ph: (219) 980-0319	Dr Chanbo Sim, DDS 6075 Cleveland Circle, Merrillville, IN 46410 Ph: (219) 980-0319

Reviews and Comments

Dentist in Merrillville, IN

Mr. Thomas Steven Nichols, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 W Lincoln Hwy Ste N, Merrillville, IN 46410 Phone: 219-769-6444 Fax: 219-755-4790
Harry Gene Frank, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8679 Connecticut St, Suite C, Merrillville, IN 46410 Phone: 219-769-1166 Fax: 219-769-4030
Thalia Rambalakos Katsaros, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7863 Broadway, Suite #111, Merrillville, IN 46410 Phone: 219-769-6636 Fax: 219-769-4396
Dennis M. Deeb, DDS Dentist Medicare: Medicare Enrolled Practice Location: 55 E 86th Ave, Merrillville, IN 46410 Phone: 219-769-6424 Fax: 219-769-6424
Christine Mousa, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6075 Cleveland Cir, Merrillville, IN 46410 Phone: 219-769-6316
Dr. Melissa Yousefi Ramandi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6 W Lincoln Hwy, Merrillville, IN 46410 Phone: 219-472-2275
Isabel Antoinette Bravo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 233 E 84th Dr Ste 106, Merrillville, IN 46410 Phone: 219-736-2309

Dr Chanbo Sim, DDS - Medicare Dentist in Merrillville, IN