Dr Min Jung Kwon, DDS is a medicare enrolled "Dentist - General Practice" provider in Ingleside, Illinois. Her current practice location is
214 Washington St, Ingleside, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 587-3020.
Dr Min Jung Kwon is licensed to practice in Illinois (license number ) 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 1609095678.
Healthcare Provider's Profile
Full Name | Dr Min Jung Kwon |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 214 Washington St, Ingleside, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609095678
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 04/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 4880983048
- Enrollment ID: I20160511002779
Medical Identifiers
Medical identifiers for Dr Min Jung Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609095678 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | (Illinois) | 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 Min Jung Kwon 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 Min Jung Kwon, DDS 214 Washington St, Ingleside, IL 60041-9208 Ph: (847) 587-3020 | Dr Min Jung Kwon, DDS 214 Washington St, Ingleside, IL 60041-9208 Ph: (847) 587-3020 |
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