Dr Sungmin Cho, DDS in Niles, MI - Medicare Dentist Provider

Dr Sungmin Cho, DDS is a medicare enrolled "Dentist - General Practice" provider in Niles, Michigan. His current practice location is 122 Grant St, Niles, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 262-4364.

Dr Sungmin Cho is licensed to practice in Michigan (license number 2901022448) 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 1043739295.

Contact Information

	Dr Sungmin Cho, DDS
	122 Grant St, Niles, MI 49120-2281
	(269) 262-4364
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sungmin Cho
Gender	Male
Speciality	Dentist - General Practice
Location	122 Grant St, Niles, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043739295
Provider Enumeration Date: 09/19/2017
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 0547535544
Enrollment ID: I20181220000764

Medical Identifiers

Medical identifiers for Dr Sungmin Cho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043739295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2901022448 (Michigan)	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 Sungmin Cho allows following entities to bill medicare on his behalf.

Entity Name	Intercare Community Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150

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 Sungmin Cho 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 Sungmin Cho, DDS 261 M 62, Cassopolis, MI 49031-1034 Ph: (269) 445-3874	Dr Sungmin Cho, DDS 122 Grant St, Niles, MI 49120-2281 Ph: (269) 262-4364

Reviews and Comments

Dentist in Niles, MI

Madison Rae Mick, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste G, Niles, MI 49120 Phone: 269-262-0399
Dr. Ellen Renee Wyant, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 104 Grant St, Niles, MI 49120 Phone: 269-683-1077 Fax: 269-684-5305
Peter Jon Stelton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 Broadway, Niles, MI 49120 Phone: 269-684-8199 Fax: 269-684-1383
Dr. Michael L Flewelling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite E-2, Niles, MI 49120 Phone: 269-683-4180
Dr. Richard Ronald Rutkowski, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2812 S 11th St, Niles, MI 49120 Phone: 269-683-6331 Fax: 269-683-3411
Dr. Darrin Gourlay, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 104 Grant St, Niles, MI 49120 Phone: 269-683-1077

Dr Sungmin Cho, DDS - Medicare Dentist in Niles, MI