Dr Susan Kim, DMD, MSD in Stockton, CA - Medicare Dentist Provider

Dr Susan Kim, DMD, MSD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Stockton, California. Her current practice location is 678 N Wilson Way, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 235-0226.

Dr Susan Kim is licensed to practice in California (license number 64343) 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 1114318342.

Contact Information

	Dr Susan Kim, DMD, MSD
	678 N Wilson Way, Stockton, CA 95205-4272
	(209) 235-0226
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan Kim
Gender	Female
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	678 N Wilson Way, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114318342
Provider Enumeration Date: 02/10/2015
Last Update Date: 02/10/2015

Medicare PECOS Information:

PECOS PAC ID: 2860734829
Enrollment ID: I20190424000291

Medical Identifiers

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

Identifier	Type	State	Issuer
1114318342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	64343 (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 Susan Kim allows following entities to bill medicare on her behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

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 Susan 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 Susan Kim, DMD, MSD 678 N Wilson Way, Stockton, CA 95205-4272 Ph: (209) 235-0226	Dr Susan Kim, DMD, MSD 678 N Wilson Way, Stockton, CA 95205-4272 Ph: (209) 235-0226

Reviews and Comments

Dentist in Stockton, CA

Dr. Kevin Thang Pham I, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7746 Lorraine Ave Ste 204, Stockton, CA 95210 Phone: 209-475-0869 Fax: 209-475-0859
Dr. Scott Ernest Adams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1710 E March Ln, Ste 2b, Stockton, CA 95210 Phone: 209-474-1000 Fax: 209-474-8429
Dr. Gassan Hawari, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10039 Wendt Way, Stockton, CA 95209 Phone: 209-351-3495
Zarjan Khan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7860 West Ln Ste B, Stockton, CA 95210 Phone: 209-235-0295
Dr. Roger K Lang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3031 W March Ln, Suite 318e, Stockton, CA 95219 Phone: 209-956-0601 Fax: 209-952-8845
Thomas E Bianchi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3427 Deer Park Dr, Suite A, Stockton, CA 95219 Phone: 209-478-2252
Dr. Phuong Le Du, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8215 Powell Dr, Stockton, CA 95212 Phone: 209-351-5203

Dr Susan Kim, DMD, MSD - Medicare Dentist in Stockton, CA