Dr Oh Jae Kwon, DDS in Riverside, CA - Medicare Dentist Provider

Dr Oh Jae Kwon, DDS is a medicare enrolled "Dentist" provider in Riverside, California. His current practice location is 9939 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 588-5600.

Dr Oh Jae Kwon is licensed to practice in California (license number 46484) 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 1972576866.

Contact Information

	Dr Oh Jae Kwon, DDS
	9939 Magnolia Ave, Riverside, CA 92503-3528
	(951) 588-5600
	(951) 588-5603

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Oh Jae Kwon
Gender	Male
Speciality	Dentist
Location	9939 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972576866
Provider Enumeration Date: 02/10/2006
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 4688978570
Enrollment ID: I20220715000720

Medical Identifiers

Medical identifiers for Dr Oh Jae Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972576866	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	46484 (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 Oh Jae Kwon allows following entities to bill medicare on his behalf.

Entity Name	Oj Kwon Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972044337 PECOS PAC ID: 4082093562 Enrollment ID: O20220614003014

Entity Name	Kwon Dds Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881021434 PECOS PAC ID: 5698159283 Enrollment ID: O20220831001246

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 Oh Jae 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 Oh Jae Kwon, DDS 9939 Magnolia Ave, Riverside, CA 92503-3528 Ph: (951) 588-5600	Dr Oh Jae Kwon, DDS 9939 Magnolia Ave, Riverside, CA 92503-3528 Ph: (951) 588-5600

Reviews and Comments

Dentist in Riverside, CA

Dr. Kyungsin Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508 Phone: 951-780-9800 Fax: 951-780-3267
Han Som Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3457 Arlington Ave Ste 109, Riverside, CA 92506 Phone: 951-742-5208
Dr. Vivian Okhee Kwon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2955 Van Buren Blvd, Ste H4, Riverside, CA 92503 Phone: 951-689-8544 Fax: 951-689-2465
Dr. Osbalda Dominga Reina, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4959 Arlington Ave Ste H, Riverside, CA 92504 Phone: 951-299-7101 Fax: 951-299-7101
Dr. Armound Mahmoudi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10168 Indiana Ave, Riverside, CA 92503 Phone: 951-352-9747 Fax: 951-352-2316
Liviu Florian Eftimie, D.D.S, M.S., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3763 Tibbetts St, Riverside, CA 92506 Phone: 951-799-4911 Fax: 951-778-0799
Manuel Humberto Guevara, DDS,MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3679 Arlington Ave, Riverside, CA 92506 Phone: 951-683-1811 Fax: 951-782-0649

Dr Oh Jae Kwon, DDS - Medicare Dentist in Riverside, CA