Dr Diana Kim, DDS in Surprise, AZ - Medicare Dentist Provider

Dr Diana Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Surprise, Arizona. Her current practice location is 15128 W Bell Rd Ste 12, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 842-4864.

Dr Diana Kim is licensed to practice in Arizona (license number D010583) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679171151.

Contact Information

	Dr Diana Kim, DDS
	15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451
	(602) 842-4864
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diana Kim
Gender	Female
Speciality	Dentist - General Practice
Location	15128 W Bell Rd Ste 12, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679171151
Provider Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 4789026162
Enrollment ID: I20240530002977

Medical Identifiers

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

Identifier	Type	State	Issuer
1679171151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D010583 (Arizona)	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 Diana Kim allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Outreach Access To Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504

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 Diana 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
Dr Diana Kim, DDS 5260 W Del Rio St, Chandler, AZ 85226-1921 Ph: (206) 455-5564	Dr Diana Kim, DDS 15128 W Bell Rd Ste 12, Surprise, AZ 85374-2451 Ph: (602) 842-4864

Reviews and Comments

Dentist in Surprise, AZ

Stephanie Marie Reyes, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13869 W Bell Rd Ste 103, Surprise, AZ 85374 Phone: 623-584-4015
Dr. Njeri Njoroge, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15601 W Bell Rd, Suite 202, Surprise, AZ 85374 Phone: 623-556-2221
Dr. Amish B Patel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 17081 W Greenway Rd, Suite 121, Surprise, AZ 85388 Phone: 623-546-8400
Rachael Maddox, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15331 W Bell Rd Ste 112, Surprise, AZ 85374 Phone: 602-806-1275
Joshua Joseph Shaw, Dentist Medicare: Not Enrolled in Medicare Practice Location: 17081 W Greenway Rd Ste 120, Surprise, AZ 85388 Phone: 623-546-8400
Ashley Elizabeth Delgado, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 16581 W Bell Rd Ste 108, Surprise, AZ 85374 Phone: 480-795-5310
Alexis Zucker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18715 N Reems Rd Ste 100, Surprise, AZ 85374 Phone: 623-975-3115

Dr Diana Kim, DDS - Medicare Dentist in Surprise, AZ