Jin Sang Kwon, DDS in Modesto, CA - Medicare Dentist Provider

Jin Sang Kwon, DDS is a medicare enrolled "Dentist - General Practice" provider in Modesto, California. His current practice location is 2045 W Briggsmore Ave, Suite E, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 527-3000.

Jin Sang Kwon is licensed to practice in California (license number 53616) 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 1053473736.

Contact Information

	Jin Sang Kwon, DDS
	2045 W Briggsmore Ave, Suite E, Modesto, CA 95350-3767
	(209) 527-3000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jin Sang Kwon
Gender	Male
Speciality	Dentist - General Practice
Location	2045 W Briggsmore Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053473736
Provider Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4385922277
Enrollment ID: I20161027001330

Medical Identifiers

Medical identifiers for Jin Sang Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053473736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	53616 (California)	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. Jin Sang 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
Jin Sang Kwon, DDS 1822 Empress Ln, Turlock, CA 95382-8707 Ph: (209) 485-6638	Jin Sang Kwon, DDS 2045 W Briggsmore Ave, Suite E, Modesto, CA 95350-3767 Ph: (209) 527-3000

Reviews and Comments

Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355 Phone: 209-727-4296
Dr. Martha L Gomez, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355 Phone: 209-522-8783 Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350 Phone: 209-526-9132
Dr. John R Jeppson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350 Phone: 209-526-0344 Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350 Phone: 209-577-1313 Fax: 209-577-8584
Efraim Sanson Florendo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2605 Coffee Rd, Modesto, CA 95055 Phone: 209-521-0100
Lynn Zwahlen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350 Phone: 209-522-5761 Fax: 209-522-1051

Jin Sang Kwon, DDS - Medicare Dentist in Modesto, CA