Dr Eugenie Heo Kim, DDS in Hesperia, CA - Medicare Dentist Provider

Dr Eugenie Heo Kim, DDS is a medicare enrolled "Dentist" provider in Hesperia, California. Her current practice location is 14661 Main St, Hesperia, California. You can reach out to her office (for appointments etc.) via phone at (909) 522-0163.

Dr Eugenie Heo Kim is licensed to practice in California (license number 62603) 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 1487096699.

Contact Information

	Dr Eugenie Heo Kim, DDS
	14661 Main St, Hesperia, CA 92345-3308
	(909) 522-0163
	(760) 244-6199

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eugenie Heo Kim
Gender	Female
Speciality	Dentist
Location	14661 Main St, Hesperia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487096699
Provider Enumeration Date: 07/29/2013
Last Update Date: 04/11/2016

Medicare PECOS Information:

PECOS PAC ID: 6103190988
Enrollment ID: I20170918001119

Medical Identifiers

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

Identifier	Type	State	Issuer
1487096699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	62603 (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. Dr Eugenie Heo Kim allows following entities to bill medicare on her behalf.

Entity Name	E Kim Dental Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811346497 PECOS PAC ID: 7618246992 Enrollment ID: O20170629001002

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 Eugenie Heo 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 Eugenie Heo Kim, DDS 14661 Main St, Hesperia, CA 92345-3308 Ph: (909) 522-0163	Dr Eugenie Heo Kim, DDS 14661 Main St, Hesperia, CA 92345-3308 Ph: (909) 522-0163

Reviews and Comments

Dentist in Hesperia, CA

Codrina Alexandra Baston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15555 Main St, Hesperia, CA 92345 Phone: 760-244-5600
Mrs. Jessicah Lauren Moretz, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12821 Main St Ste 150, Hesperia, CA 92345 Phone: 760-947-9853
Hyun Il Kim, Dentist Medicare: Not Enrolled in Medicare Practice Location: 16922 Main St Ste F, Hesperia, CA 92345 Phone: 760-244-4844
Dr. Steven James Dombrady, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18215 Bear Valley Rd, Hesperia, CA 92345 Phone: 760-948-9885
Mrs. Mojgan Sheikhavandi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11949 Hesperia Rd Ste A, Hesperia, CA 92345 Phone: 760-244-1212 Fax: 760-244-2009
Dr. Kent B Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9176 I Ave, Hesperia, CA 92345 Phone: 760-244-2027 Fax: 760-244-0361
Dr. Andrew Juhwan Lim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15550 Main St Ste B7, Hesperia, CA 92345 Phone: 760-947-7777 Fax: 760-947-1331

Dr Eugenie Heo Kim, DDS - Medicare Dentist in Hesperia, CA