Dr Eunhae Park Kwon, DDS in Menlo Park, CA

Dr Eunhae Park Kwon, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Menlo Park, California. Her current practice location is 90 Middlefield Rd Ste 1, Menlo Park, California. You can reach out to her office (for appointments etc.) via phone at (650) 323-0264.

Dr Eunhae Park Kwon is licensed to practice in California (license number 60120) 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 1285867721.

Contact Information

	Dr Eunhae Park Kwon, DDS
	90 Middlefield Rd Ste 1, Menlo Park, CA 94025-4001
	(650) 323-0264
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eunhae Park Kwon
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	90 Middlefield Rd Ste 1, Menlo Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285867721
Provider Enumeration Date: 09/01/2009
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5890003826
Enrollment ID: I20150924002047

Medical Identifiers

Medical identifiers for Dr Eunhae Park Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285867721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	10625 (Massachusetts)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	60120 (California)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	60120 (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 Eunhae Park Kwon allows following entities to bill medicare on her behalf.

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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 Eunhae Park Kwon 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 Eunhae Park Kwon, DDS 90 Middlefield Rd Ste 1, Menlo Park, CA 94025-4001 Ph: (415) 439-9444	Dr Eunhae Park Kwon, DDS 90 Middlefield Rd Ste 1, Menlo Park, CA 94025-4001 Ph: (650) 323-0264

Reviews and Comments

Dentist in Menlo Park, CA

David Y Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1331 Crane St., Unit 413, Menlo Park, CA 94025 Phone: 425-224-6598
Dr. Kenneth E Moore Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Menlo Ave, #5, Menlo Park, CA 94025 Phone: 650-328-8544 Fax: 650-382-9405
Dr. Richard Sellen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 Middlefield Rd, Ste 101, Menlo Park, CA 94025 Phone: 650-328-2072
Dr. William H Mclain, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1300 University Dr, Suite 7, Menlo Park, CA 94025 Phone: 650-326-1682 Fax: 650-324-9884
Dr. Thomas Paul Yob, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Menlo Ave, Suite 6, Menlo Park, CA 94025 Phone: 650-324-9272 Fax: 650-324-1908
Dr. Stanley Lent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 625 Menlo Ave, Suite 6, Menlo Park, CA 94025 Phone: 650-324-9272 Fax: 650-324-1908
Dr. R Glenn Kitasoe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 825 Oak Grove Ave, C-501, Menlo Park, CA 94025 Phone: 650-323-5211

Dr Eunhae Park Kwon, DDS - Medicare Dentist in Menlo Park, CA