Dr Mary Grace Kim, DDS in Niles, IL - Medicare Dentist Provider

Dr Mary Grace Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Niles, Illinois. Her current practice location is 8321 W Golf Rd, Niles, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 720-3504.

Dr Mary Grace Kim is licensed to practice in Illinois (license number 019029922) 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 1053729467.

Contact Information

	Dr Mary Grace Kim, DDS
	8321 W Golf Rd, Niles, IL 60714-1113
	(847) 720-3504
	(847) 692-5271

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Grace Kim
Gender	Female
Speciality	Dentist - General Practice
Location	8321 W Golf Rd, Niles, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053729467
Provider Enumeration Date: 07/29/2014
Last Update Date: 12/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2961787544
Enrollment ID: I20170322000739

Medical Identifiers

Medical identifiers for Dr Mary Grace Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053729467	NPI	-	NPPES
019029922	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019029922 (Illinois)	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 Mary Grace Kim allows following entities to bill medicare on her behalf.

Entity Name	Erie Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689

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 Mary Grace 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 Mary Grace Kim, DDS 2424 W. Peterson, Chicago, IL 60659 Ph: (773) 761-0300	Dr Mary Grace Kim, DDS 8321 W Golf Rd, Niles, IL 60714-1113 Ph: (847) 720-3504

Reviews and Comments

Dentist in Niles, IL

Dr. Scott W Shore, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9101 N Greenwood Ave, Niles, IL 60714 Phone: 847-299-1095
Dr. Gary M Lamantia, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7942 W Oakton St, Niles, IL 60714 Phone: 847-823-0260 Fax: 847-823-0269
Dr. Seung Eun Baik, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9101 N Greenwood Ave, Suite#202, Niles, IL 60714 Phone: 847-296-9100 Fax: 847-296-9101
Mr. Tejas N Joshi, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 7763 N Nordica Ave, Niles, IL 60714 Phone: 847-209-1298
Dr. Richard C Mazanek, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7942 W Oakton St, Niles, IL 60714 Phone: 847-823-0260 Fax: 847-823-0269
Dr. Spiro Barlas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 241 Golf Mill Center Suite 721, Golf Mill Professional Building, Niles, IL 60714 Phone: 847-298-4440 Fax: 847-298-5162

Dr Mary Grace Kim, DDS - Medicare Dentist in Niles, IL