Dr Joo Kim, DDS in Wantagh, NY - Medicare Dentist Provider

Dr Joo Kim, DDS is a medicare enrolled "Dentist" provider in Wantagh, New York. His current practice location is 3366 Park Ave, Wantagh, New York. You can reach out to his office (for appointments etc.) via phone at (646) 784-2703.

Dr Joo Kim is licensed to practice in New York (license number 054830-1) 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 1790920049.

Contact Information

	Dr Joo Kim, DDS
	3366 Park Ave, Wantagh, NY 11793-3770
	(646) 784-2703
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joo Kim
Gender	Male
Speciality	Dentist
Location	3366 Park Ave, Wantagh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790920049
Provider Enumeration Date: 12/15/2008
Last Update Date: 11/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0749508604
Enrollment ID: I20150406001764

Medical Identifiers

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

Identifier	Type	State	Issuer
1790920049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22DI02390000 (New Jersey)	Secondary
122300000X	Dentist	054830-1 (New York)	Primary

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 Joo 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 Joo Kim, DDS 3366 Park Ave, Wantagh, NY 11793-3770 Ph: (516) 826-4949	Dr Joo Kim, DDS 3366 Park Ave, Wantagh, NY 11793-3770 Ph: (646) 784-2703

Reviews and Comments

Dentist in Wantagh, NY

Michael Nosov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3305 Jerusalem Ave, Suite 106, Wantagh, NY 11793 Phone: 716-628-4971
Dr. Virmaris L Perdomo, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1228 Wantagh Ave, # 102, Wantagh, NY 11793 Phone: 516-679-7978
Dr. David I Samuels, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2941 Murdock Rd, Wantagh, NY 11793 Phone: 516-785-0956
Lois Beth Levine, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3366 Park Ave, Wantagh, NY 11793 Phone: 516-826-4949 Fax: 516-826-2707
Dr. Neil Finn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3366 Park Ave, Wantagh, NY 11793 Phone: 212-826-4949
Dr. Steven S. Schwartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3341b Park Ave, Wantagh, NY 11793 Phone: 516-826-3336
Dr. Vasiliki Batalias, Dentist Medicare: Medicare Enrolled Practice Location: 3366 Park Ave, Wantagh, NY 11793 Phone: 516-826-4949 Fax: 516-826-2707

Dr Joo Kim, DDS - Medicare Dentist in Wantagh, NY