Dr Kim Lee Capehart, DDS, PHD, MBA in Augusta, GA

Dr Kim Lee Capehart, DDS, PHD, MBA is a medicare enrolled "Dentist - General Practice" provider in Augusta, Georgia. His current practice location is 1430 John Wesley Gilbert Dr, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-4276.

Dr Kim Lee Capehart is licensed to practice in Georgia (license number DN015610) 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 1568478907.

Contact Information

	Dr Kim Lee Capehart, DDS, PHD, MBA
	1430 John Wesley Gilbert Dr, Augusta, GA 30912-3234
	(706) 721-4276
	(706) 721-6778

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kim Lee Capehart
Gender	Male
Speciality	Dentist - General Practice
Location	1430 John Wesley Gilbert Dr, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568478907
Provider Enumeration Date: 07/31/2006
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9133525140
Enrollment ID: I20210831000179

Medical Identifiers

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

Identifier	Type	State	Issuer
1568478907	NPI	-	NPPES
ZX3842	Medicaid	SC
003236054A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DN015610 (Georgia)	Primary
1223G0001X	Dentist - General Practice	3842 (South Carolina)	Secondary

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 Kim Lee Capehart allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Au Dental Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457541781 PECOS PAC ID: 7810988607 Enrollment ID: O20040520000734

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Kim Lee Capehart 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 Kim Lee Capehart, DDS, PHD, MBA 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0001 Ph: (706) 721-2371	Dr Kim Lee Capehart, DDS, PHD, MBA 1430 John Wesley Gilbert Dr, Augusta, GA 30912-3234 Ph: (706) 721-4276

Reviews and Comments

Dentist in Augusta, GA

Dr. Geoffrey Allen Thompson, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Steven Kent Nelson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1459 Laney Walker Blvd, Ad1501, Augusta, GA 30912 Phone: 706-721-0502 Fax: 706-721-6778
Dr. John S. Blalock, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 3606 Wheeler Rd., Augusta, GA 30909 Phone: 706-481-8811 Fax: 706-481-8507
Dr. Theodore D Ravenel V, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1430 John Wesley Gilbert Drive, Augusta, GA 30912 Phone: 706-721-2371 Fax: 706-721-6778
Dr. Logan Nalley Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3643 Walton Way Ext, Bldg. 1, Augusta, GA 30909 Phone: 706-733-8641 Fax: 706-733-8615
Dr. Tobin Trotter, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 Pleasant Home Rd, Augusta, GA 30907 Phone: 706-860-2442
Dr. Eyitemi Elete, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3456 Wrightsboro Rd, Augusta, GA 30909 Phone: 706-251-7917

Dr Kim Lee Capehart, DDS, PHD, MBA - Medicare Dentist in Augusta, GA