Dr Kimberly Jean Bork, DMD is a medicare enrolled "Dentist - General Practice" provider in Hartford, South Dakota. Her current practice location is
304 W. Highway 38, Suite 138, Hartford, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 528-6750.
Dr Kimberly Jean Bork is licensed to practice in South Dakota (license number D1033) 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 1609216670.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Jean Bork |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 304 W. Highway 38, Hartford, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609216670
- Provider Enumeration Date: 07/05/2013
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062736622
- Enrollment ID: I20150130001695
Medical Identifiers
Medical identifiers for Dr Kimberly Jean Bork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609216670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | D1033 (South Dakota) | 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 Kimberly Jean Bork 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 Kimberly Jean Bork, DMD
Po Box 757,
Hartford, SD 57033-0757
Ph: (605) 528-6750 | Dr Kimberly Jean Bork, DMD
304 W. Highway 38, Suite 138,
Hartford, SD 57033
Ph: (605) 528-6750 |
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