Dr Soonki Kim, DDS in Dallas, TX - Medicare Dentist Provider

Dr Soonki Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Dallas, Texas. His current practice location is 2216 Royal Ln Ste 115, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 243-0365.

Dr Soonki Kim is licensed to practice in Texas (license number 23100) 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 1225151186.

Contact Information

	Dr Soonki Kim, DDS
	2216 Royal Ln Ste 115, Dallas, TX 75229-7827
	(972) 243-0365
	(972) 247-0898

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Soonki Kim
Gender	Male
Speciality	Dentist - General Practice
Location	2216 Royal Ln Ste 115, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225151186
Provider Enumeration Date: 04/07/2007
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0345480885
Enrollment ID: I20130708000027

Medical Identifiers

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

Identifier	Type	State	Issuer
1225151186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	23100 (Texas)	Primary
122300000X	Dentist	23100 (Texas)	Secondary

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 Soonki Kim allows following entities to bill medicare on his behalf.

Entity Name	Dr Kims Dental Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649593971 PECOS PAC ID: 5698097996 Enrollment ID: O20141121001925

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 Soonki 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 Soonki Kim, DDS 2216 Royal Ln Ste 115, Dallas, TX 75229-7827 Ph: (972) 243-0365	Dr Soonki Kim, DDS 2216 Royal Ln Ste 115, Dallas, TX 75229-7827 Ph: (972) 243-0365

Reviews and Comments

Dentist in Dallas, TX

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Dr. Brent Steven Desutter, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 718 N Buckner Blvd Ste 110, Dallas, TX 75218 Phone: 214-295-8440
Courtney Cunningham Ellis, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1777 N Record St Apt 2402, Dallas, TX 75202 Phone: 806-570-0488
Dr. Tae Eun You, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1515 S Buckner Blvd, Ste 223, Dallas, TX 75217 Phone: 214-391-6868

Dr Soonki Kim, DDS - Medicare Dentist in Dallas, TX