Hyesung Im, DDS is a medicare enrolled "Dentist - General Practice" provider in East Norwich, New York. Her current practice location is
600 Pine Hollow Rd, 4-1a, East Norwich, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 653-7145.
Hyesung Im is licensed to practice in New York (license number 053915-1) 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 1598910259.
Healthcare Provider's Profile
Full Name | Hyesung Im |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 600 Pine Hollow Rd, East Norwich, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598910259
- Provider Enumeration Date: 11/22/2008
- Last Update Date: 11/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 9537462502
- Enrollment ID: I20160126000000
Medical Identifiers
Medical identifiers for Hyesung Im such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598910259 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 053915-1 (New York) | 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. Hyesung Im 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 |
Hyesung Im, DDS 600 Pine Hollow Rd, 4-1a, East Norwich, NY 11732-1042 Ph: (917) 653-7145 | Hyesung Im, DDS 600 Pine Hollow Rd, 4-1a, East Norwich, NY 11732-1042 Ph: (917) 653-7145 |
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