Dr Young Tae Shim, DMD in Duluth, GA - Medicare Dentist Provider

Dr Young Tae Shim, DMD is a medicare enrolled "Dentist" provider in Duluth, Georgia. His current practice location is 2925 Premiere Pkwy Ste 175b, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 910-9060.

Dr Young Tae Shim is licensed to practice in Texas (license number 31033) 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 1790011609.

Contact Information

	Dr Young Tae Shim, DMD
	2925 Premiere Pkwy Ste 175b, Duluth, GA 30097-5258
	(404) 910-9060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Young Tae Shim
Gender	Male
Speciality	Dentist
Location	2925 Premiere Pkwy Ste 175b, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790011609
Provider Enumeration Date: 10/27/2009
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 8426350547
Enrollment ID: I20160106002902

Medical Identifiers

Medical identifiers for Dr Young Tae Shim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790011609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN13999 (Georgia)	Secondary
122300000X	Dentist	31033 (Texas)	Primary

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 Tae Shim 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 Tae Shim, DMD 2953 Springbluff Ln, Buford, GA 30519-4195 Ph: (404) 512-0760	Dr Young Tae Shim, DMD 2925 Premiere Pkwy Ste 175b, Duluth, GA 30097-5258 Ph: (404) 910-9060

Reviews and Comments

Dentist in Duluth, GA

Dr. Benjamin Patrick Dongieux, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3500 Duluth Park Ln, Suite 100, Duluth, GA 30096 Phone: 770-623-6714
Dr. Morgan Chad Triggs, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9775 Medlock Brg Rd Suite 1, Duluth, GA 30097 Phone: 770-476-9595 Fax: 770-476-4249
Dr. Gabrielle Lina Going, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2405 Satellite Blvd Ste 115, Duluth, GA 30096 Phone: 770-622-5909
Dr. Maurice Edward Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3870 Peachtree Industrial Blvd, #220, Duluth, GA 30096 Phone: 770-476-9004
Dr. Sook J Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1625 Pleasant Hill Rd, # 140, Duluth, GA 30096 Phone: 678-924-9848 Fax: 678-924-9819
Ariba Memon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2652 Ridge Run Trl, Duluth, GA 30097 Phone: 678-722-1310
Dr. Lawrence M Saltzman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3800 Satellite Blvd, Gwinnett Place Commons, Duluth, GA 30096 Phone: 770-495-0824 Fax: 770-813-9848

Dr Young Tae Shim, DMD - Medicare Dentist in Duluth, GA