Dr Kahina Etossi King, DMD, MS in Atlanta, GA

Dr Kahina Etossi King, DMD, MS is a medicare enrolled "Dentist - Dental Public Health" provider in Atlanta, Georgia. Her current practice location is 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 553-4924.

Dr Kahina Etossi King is licensed to practice in Georgia (license number DN122505) 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 1689873671.

Contact Information

	Dr Kahina Etossi King, DMD, MS
	1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653
	(678) 553-4924
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kahina Etossi King
Gender	Female
Speciality	Dentist - Dental Public Health
Location	1015 Donald Lee Hollowell Pkwy Nw, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689873671
Provider Enumeration Date: 07/11/2007
Last Update Date: 05/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7618258005
Enrollment ID: I20161222001185

Medical Identifiers

Medical identifiers for Dr Kahina Etossi King such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689873671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN122505 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	DN122505 (Georgia)	Secondary
1223D0001X	Dentist - Dental Public Health	DN122505 (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 Kahina Etossi King allows following entities to bill medicare on her behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

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 Kahina Etossi King 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 Kahina Etossi King, DMD, MS Po Box 438394, Chicago, IL 60643-8394 Ph: (773) 609-2545	Dr Kahina Etossi King, DMD, MS 1015 Donald Lee Hollowell Pkwy Nw, Atlanta, GA 30318-6653 Ph: (678) 553-4924

Reviews and Comments

Dentist in Atlanta, GA

Dr. Walter Fuller Young, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2265 Cascade Rd Sw, Atlanta, GA 30311 Phone: 404-753-4753 Fax: 404-753-4228
Stanley G Carter, DDS Dentist Medicare: Medicare Enrolled Practice Location: 75 Marietta St Nw, Suite 100, Atlanta, GA 30303 Phone: 404-577-0868
Dr. Jesse Hader, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3648 Peachtree Rd Ne, Penthouse 4-s, Atlanta, GA 30319 Phone: 404-842-1196 Fax: 404-842-1198
Dr. Manjeet Kaur Singh, Dentist Medicare: Medicare Enrolled Practice Location: 2910 N Druid Hills Rd Ne, Suite B, Atlanta, GA 30329 Phone: 404-633-4030 Fax: 404-633-1687
Dr. Alisa Jeannette Raglin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 Tuckawanna Dr Sw, Atlanta, GA 30311 Phone: 404-472-0233 Fax: 404-472-0235
Maheshvar Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2960 Hardman Ct Ne, Atlanta, GA 30305 Phone: 404-261-8880
Dr. J. Walker Love, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1816 Independence Sq, Suite B, Atlanta, GA 30338 Phone: 770-399-9199

Dr Kahina Etossi King, DMD, MS - Medicare Dentist in Atlanta, GA