Dr Kwang Hyun Kim, DDS - Medicare Dentist in San Rafael, CA

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Dr Kwang Hyun Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in San Rafael, California. His current practice location is 670 Las Gallinas Ave, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 479-8166.

Dr Kwang Hyun Kim is licensed to practice in California (license number 49563) 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 1356437842.

Contact Information

Dr Kwang Hyun Kim, DDS
670 Las Gallinas Ave,
San Rafael, CA 94903-3687
(415) 479-8166
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kwang Hyun Kim
GenderMale
SpecialityDentist - General Practice
Location670 Las Gallinas Ave, San Rafael, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356437842
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 07/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022559202
  • Enrollment ID: I20240916003567

Medical Identifiers

Medical identifiers for Dr Kwang Hyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356437842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 49563 (California)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 Kwang Hyun Kim allows following entities to bill medicare on his behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Oral & Maxillofacial Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679652598
PECOS PAC ID: 1254223126
Enrollment ID: O20040325001597
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameUcsf Oral Medicine Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376612960
PECOS PAC ID: 2062498926
Enrollment ID: O20040629001574

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 Kwang Hyun 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 AddressPractice Location Address
Dr Kwang Hyun Kim, DDS
670 Las Gallinas Ave,
San Rafael, CA 94903-3687

Ph: (415) 479-8166		Dr Kwang Hyun Kim, DDS
670 Las Gallinas Ave,
San Rafael, CA 94903-3687

Ph: (415) 479-8166

Reviews and Comments


Dentist in San Rafael, CA

Eunkyo Cho, DDS
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Dr. Ezra H Kantor, DDS
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Practice Location: 750 Las Gallinas Ave, San Rafael, CA 94903
Phone: 415-492-1616    Fax: 415-492-0466
Stuart Holloway Smith, D.D.S.
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Dr. Anthony D Collard, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 880 Las Gallinas Ave, Suite #5, San Rafael, CA 94903
Phone: 415-479-8747    Fax: 415-479-9960
Gary A Grablin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1001 D Street, San Rafael, CA 94901
Phone: 415-454-3222    Fax: 415-454-8741
Dr. James A Mcdowell, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1721 5th Ave, San Rafael, CA 94901
Phone: 415-453-4720    Fax: 415-453-4727
Dr. Michael Gerald Dab, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903
Phone: 415-472-5211    Fax: 415-472-1046

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.