Dr Euiyoung Kwak, DMD in Hiram, GA - Medicare Dentist Provider

Dr Euiyoung Kwak, DMD is a medicare enrolled "Dentist - General Practice" provider in Hiram, Georgia. His current practice location is 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 224-9244.

Dr Euiyoung Kwak is licensed to practice in Georgia (license number DN015936) 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 1003461559.

Contact Information

	Dr Euiyoung Kwak, DMD
	4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2642
	(678) 224-9244
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Euiyoung Kwak
Gender	Male
Speciality	Dentist - General Practice
Location	4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003461559
Provider Enumeration Date: 08/01/2019
Last Update Date: 08/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1052731213
Enrollment ID: I20240130000541

Medical Identifiers

Medical identifiers for Dr Euiyoung Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003461559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN015936 (Georgia)	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 Euiyoung Kwak allows following entities to bill medicare on his behalf.

Entity Name	Ethne Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538646054 PECOS PAC ID: 5092054940 Enrollment ID: O20190311002940

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 Euiyoung Kwak 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 Euiyoung Kwak, DMD 2217 Lake Park Dr Se Apt M, Smyrna, GA 30080-8975 Ph: (954) 604-7343	Dr Euiyoung Kwak, DMD 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141-2642 Ph: (678) 224-9244

Reviews and Comments

Dentist in Hiram, GA

Dr. Henry Moreno, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4374 Atlanta Hwy Ste 109, Hiram, GA 30141 Phone: 770-505-9898
Nayana Christine Dubier, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4373 Jimmy Lee Smith Pkwy Ste 105, Hiram, GA 30141 Phone: 678-224-9244
Dr. John Warren, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Quail Ridge Rd, Hiram, GA 30141 Phone: 770-943-9616
Cameryn Faulkner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5140 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 770-439-1038 Fax: 504-364-8968
Dr. Rooh Afza, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1899 Lake Rd Ste 220, Hiram, GA 30141 Phone: 470-210-6595
Sharon Bingham-shultz, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5886 Wendy Bagwell Pkwy Ste 201, Hiram, GA 30141 Phone: 678-384-1787 Fax: 678-384-1459

Dr Euiyoung Kwak, DMD - Medicare Dentist in Hiram, GA