Dr Min Soo Kim, DMD in Aurora, IL - Medicare Dentist Provider

Dr Min Soo Kim, DMD is a medicare enrolled "Dentist" provider in Aurora, Illinois. His current practice location is 4260 Westbrook Dr Ste 105, Aurora, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 851-0450.

Dr Min Soo Kim is licensed to practice in Indiana (license number 12012332A) 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 1528449873.

Contact Information

	Dr Min Soo Kim, DMD
	4260 Westbrook Dr Ste 105, Aurora, IL 60504-8136
	(630) 851-0450
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Min Soo Kim
Gender	Male
Speciality	Dentist
Location	4260 Westbrook Dr Ste 105, Aurora, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528449873
Provider Enumeration Date: 06/12/2015
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9830631175
Enrollment ID: I20240603002142

Medical Identifiers

Medical identifiers for Dr Min Soo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528449873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12012332A (Indiana)	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 Min Soo Kim allows following entities to bill medicare on his behalf.

Entity Name	Sleep Better Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497523559 PECOS PAC ID: 8123560463 Enrollment ID: O20240603000823

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 Soo 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 Min Soo Kim, DMD 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 Ph: (217) 814-0407	Dr Min Soo Kim, DMD 4260 Westbrook Dr Ste 105, Aurora, IL 60504-8136 Ph: (630) 851-0450

Reviews and Comments

Dentist in Aurora, IL

Dr. Garima Shukla, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2775 Ginger Woods Dr, Aurora, IL 60502 Phone: 630-730-7778
Soha D Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11 W Downer Pl, Aurora, IL 60506 Phone: 630-892-4000
Dr. Mayank R Adatia, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 853 N Highland Ave, Suite C, Aurora, IL 60506 Phone: 630-844-3368 Fax: 630-844-2873
Philip Nebres, Dentist Medicare: Medicare Enrolled Practice Location: 1264 N Lake St, Aurora, IL 60506 Phone: 630-801-9028
Dr. Timothy James Clare, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2262 Ogden Ave, Aurora, IL 60504 Phone: 630-820-1610 Fax: 630-820-1241
Dr. Kimberley M Young, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1132 Prairie St, Aurora, IL 60506 Phone: 630-892-8711 Fax: 630-892-8797
Dr. Vidhya Devi Senthilathiban, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1264a N Lake St, Aurora, IL 60506 Phone: 630-801-9028

Dr Min Soo Kim, DMD - Medicare Dentist in Aurora, IL