Dr Nellie Kim-weroha, DDS, MS - Medicare Dentist in Rochester, MN

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Dr Nellie Kim-weroha, DDS, MS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Rochester, Minnesota. Her current practice location is 1705 Broadway Ave S, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 288-4427.

Dr Nellie Kim-weroha is licensed to practice in Minnesota (license number D12483) 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 1780706275.

Contact Information

Dr Nellie Kim-weroha, DDS, MS
1705 Broadway Ave S,
Rochester, MN 55904
(507) 288-4427
(507) 288-8497

Map and Direction




Healthcare Provider's Profile

Full NameDr Nellie Kim-weroha
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location1705 Broadway Ave S, Rochester, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780706275
  • Provider Enumeration Date: 04/04/2007
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4486013877
  • Enrollment ID: I20230703001479

Medical Identifiers

Medical identifiers for Dr Nellie Kim-weroha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780706275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery D12483 (Minnesota)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 2004013591 (Missouri)Secondary
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics D12483 (Minnesota)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 Nellie Kim-weroha allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285

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 Nellie Kim-weroha 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 Nellie Kim-weroha, DDS, MS
1705 Broadway Ave S,
Rochester, MN 55904

Ph: (507) 288-4427		Dr Nellie Kim-weroha, DDS, MS
1705 Broadway Ave S,
Rochester, MN 55904

Ph: (507) 288-4427

Reviews and Comments


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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.