Dr Young Kyu Kim, DMD in Mansfield, TX - Medicare Dentist Provider

Dr Young Kyu Kim, DMD is a medicare enrolled "Dentist - General Practice" provider in Mansfield, Texas. His current practice location is 2771 E Broad St Ste 221, Mansfield, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 473-2277.

Dr Young Kyu Kim is licensed to practice in Texas (license number 35577) 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 1093284929.

Contact Information

	Dr Young Kyu Kim, DMD
	2771 E Broad St Ste 221, Mansfield, TX 76063-9157
	(817) 473-2277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Young Kyu Kim
Gender	Male
Speciality	Dentist - General Practice
Location	2771 E Broad St Ste 221, Mansfield, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093284929
Provider Enumeration Date: 11/20/2018
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9436495025
Enrollment ID: I20190118001807

Medical Identifiers

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

Identifier	Type	State	Issuer
1093284929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	35577 (Texas)	Primary
1223G0001X	Dentist - General Practice	10208 (Kentucky)	Secondary

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 Young Kyu 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 Young Kyu Kim, DMD 925 N Bryan Belt Line Rd Ste 106, Mesquite, TX 75149-2541 Ph: (972) 288-3200	Dr Young Kyu Kim, DMD 2771 E Broad St Ste 221, Mansfield, TX 76063-9157 Ph: (817) 473-2277

Reviews and Comments

Dentist in Mansfield, TX

Dr. Jennifer Lynne Fritz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1811 Highway 287 N Ste 160, Mansfield, TX 76063 Phone: 817-405-2260
Dr. Aeni Lim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1551 Highway 287 N, Suite 411, Mansfield, TX 76063 Phone: 817-453-6108
Abhinav Kalra, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1811 Highway 287 N Ste 160, Mansfield, TX 76063 Phone: 817-453-1001 Fax: 817-453-1221
Dr. Man Nguyen Le, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2880 N. Fm 157, #102, Mansfield, TX 76063 Phone: 817-473-6200
Kyle S Hansen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2771 E Broad St Ste 221, Mansfield, TX 76063 Phone: 972-975-2606
Dr. Shanna Howze, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1750 E Broad St, Mansfield, TX 76063 Phone: 817-473-6857 Fax: 817-473-3256
Dr. Calvin Tardy, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1220 Highway 287 N, Mansfield, TX 76063 Phone: 817-842-0018

Dr Young Kyu Kim, DMD - Medicare Dentist in Mansfield, TX