Dr David Jin, DDS in Fort Lee, NJ - Medicare Dentist Provider

Dr David Jin, DDS is a medicare enrolled "Dentist" provider in Fort Lee, New Jersey. His current practice location is 1315 Anderson Ave Ste A, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 224-4400.

Dr David Jin is licensed to practice in New Jersey (license number 22DI02183600) 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 1255334165.

Contact Information

	Dr David Jin, DDS
	1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732
	(201) 224-4400
	(201) 224-4418

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Jin
Gender	Male
Speciality	Dentist
Location	1315 Anderson Ave Ste A, Fort Lee, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255334165
Provider Enumeration Date: 05/24/2005
Last Update Date: 10/23/2022

Medicare PECOS Information:

PECOS PAC ID: 7517261399
Enrollment ID: I20231207003282

Medical Identifiers

Medical identifiers for Dr David Jin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255334165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	047558-1 (New York)	Secondary
1223G0001X	Dentist - General Practice	22DI02183600 (New Jersey)	Secondary
122300000X	Dentist	22DI02183600 (New Jersey)	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 David Jin allows following entities to bill medicare on his behalf.

Entity Name	A Beautiful Smile Dentistry, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316940224 PECOS PAC ID: 1557710167 Enrollment ID: O20231207003321

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 David Jin 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 David Jin, DDS 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732 Ph: (201) 224-4400	Dr David Jin, DDS 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732 Ph: (201) 224-4400

Reviews and Comments

Dentist in Fort Lee, NJ

Dr. Olga Michaud, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 Bridge Plz N, Fort Lee, NJ 07024 Phone: 201-346-4660 Fax: 201-346-1116
Dr. Paul Miller, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1196 Palisade Ave, Fort Lee, NJ 07024 Phone: 201-886-1477 Fax: 201-224-8070
Dr. Scott Davie Ganz, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 158 Linwood Plz, Suite 204, Fort Lee, NJ 07024 Phone: 201-592-8888 Fax: 201-592-8821
Dr. Jessica M Chung-levy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1315 Anderson Ave, Fort Lee, NJ 07024 Phone: 201-886-8400 Fax: 201-886-8414
Khimiya M Paryani, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 4301 Crest Ln, Fort Lee, NJ 07024 Phone: 954-816-9280
Dr. Harriet Susan Goldman, D.D.S, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1500 Palisade Ave, Apt. 11f, Fort Lee, NJ 07024 Phone: 201-585-1907
Dr. Francis Oh, DDS, MS, MA Dentist Medicare: Medicare Enrolled Practice Location: 2044 Center Ave, Fort Lee, NJ 07024 Phone: 201-637-7977

Dr David Jin, DDS - Medicare Dentist in Fort Lee, NJ