Dr Diane Jeong Kim, DDS in Humble, TX - Medicare Dentist Provider

Dr Diane Jeong Kim, DDS is a medicare enrolled "Dentist" provider in Humble, Texas. Her current practice location is 19725 Highway 59 N, Humble, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 972-8000.

Dr Diane Jeong Kim is licensed to practice in Texas (license number 35657) 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 1750939047.

Contact Information

	Dr Diane Jeong Kim, DDS
	19725 Highway 59 N, Humble, TX 77338-3566
	(281) 972-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diane Jeong Kim
Gender	Female
Speciality	Dentist
Location	19725 Highway 59 N, Humble, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750939047
Provider Enumeration Date: 08/29/2019
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9133507254
Enrollment ID: I20220602000032

Medical Identifiers

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

Identifier	Type	State	Issuer
1750939047	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	35657 (Texas)	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 Diane Jeong Kim allows following entities to bill medicare on her behalf.

Entity Name	Diane Kim Dds Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023778768 PECOS PAC ID: 8224416342 Enrollment ID: O20220602000018

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 Diane Jeong 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 Diane Jeong Kim, DDS 19725 Highway 59 N, Humble, TX 77338-3566 Ph: (281) 972-8000	Dr Diane Jeong Kim, DDS 19725 Highway 59 N, Humble, TX 77338-3566 Ph: (281) 972-8000

Reviews and Comments

Dentist in Humble, TX

Dr. Sean Edward Fitzgerald, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18700 W Lake Houston Pkwy Ste A107, Humble, TX 77346 Phone: 281-852-2150 Fax: 281-852-0356
Miner Jerome Holmes Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9815 Fm 1960 Rd W, Humble, TX 77338 Phone: 281-548-3384 Fax: 281-548-7336
Dr. Fady Guirguis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9648 Fm 1960 Bypass Rd W, Humble, TX 77338 Phone: 917-602-3213
Dr. Erin Farmer Evans, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7315 Fm 1960 Rd E, Humble, TX 77346 Phone: 218-812-7550
Dr. Edwin J Coligado, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7810 Fm 1960 Rd E, Suite 102, Humble, TX 77346 Phone: 281-852-6424 Fax: 281-852-0831
Dr. Sonny Wong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7315 Fm 1960 Rd E, Humble, TX 77346 Phone: 281-812-7550
Dr. Edward West Ficken, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9813 Memorial Blvd, Suite C, Humble, TX 77338 Phone: 281-540-1141 Fax: 281-540-1141

Dr Diane Jeong Kim, DDS - Medicare Dentist in Humble, TX