Dr Ki Bum Kim, in Carlsbad, CA - Medicare Dentist Provider

Dr Ki Bum Kim, is a medicare enrolled "Dentist" provider in Carlsbad, California. His current practice location is 6726 Limonite Ct, Carlsbad, California. You can reach out to his office (for appointments etc.) via phone at (760) 809-5061.

Dr Ki Bum Kim is licensed to practice in Washington (license number DE61172402) 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 1851027254.

Contact Information

	Dr Ki Bum Kim,
	6726 Limonite Ct, Carlsbad, CA 92009-5202
	(760) 809-5061
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ki Bum Kim
Gender	Male
Speciality	Dentist
Location	6726 Limonite Ct, Carlsbad, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851027254
Provider Enumeration Date: 07/27/2022
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0749658300
Enrollment ID: I20240412003740

Medical Identifiers

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

Identifier	Type	State	Issuer
1851027254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019.033884 (Illinois)	Secondary
122300000X	Dentist	DE61172402 (Washington)	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 Ki Bum Kim allows following entities to bill medicare on his behalf.

Entity Name	St Johns Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434

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 Ki Bum 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 Ki Bum Kim, 6726 Limonite Ct, Carlsbad, CA 92009-5202 Ph: (760) 809-5061	Dr Ki Bum Kim, 6726 Limonite Ct, Carlsbad, CA 92009-5202 Ph: (760) 809-5061

Reviews and Comments

Dentist in Carlsbad, CA

Matthew Stephen Packard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 725 Grand Ave, Carlsbad, CA 92008 Phone: 760-729-4904 Fax: 760-729-0513
Cyrous Sheikh, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6221 Metropolitan St, Suite 202, Carlsbad, CA 92009 Phone: 760-438-1279 Fax: 760-438-8793
Dr. Benjamin Joseph Mcevoy, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 725 Grand Ave, Carlsbad, CA 92008 Phone: 760-729-4904 Fax: 760-729-3132
Kelly Ryan Taylor, DDS, MSD Dentist Medicare: Medicare Enrolled Practice Location: 1291 Carlsbad Village Dr, Carlsbad, CA 92008 Phone: 760-434-7645
Dr. William J Cho, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 3144 El Camino Real Ste 104, Carlsbad, CA 92008 Phone: 760-720-7372 Fax: 760-720-7372
Dr. Richard Allan Penman Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 570 Laguna Dr, Suite A, Carlsbad, CA 92008 Phone: 760-434-7374 Fax: 760-434-1605
Dr. Bita Farhoumand, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2487 Wellspring St, Carlsbad, CA 92010 Phone: 703-981-3185

Dr Ki Bum Kim, - Medicare Dentist in Carlsbad, CA