Kevin Bang, DDS, MD - Medicare Dentist in Daly City, CA

Kevin Bang, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Daly City, California. His current practice location is 455 Hickey Blvd Ste 403, Daly City, California. You can reach out to his office (for appointments etc.) via phone at (917) 699-2815.

Kevin Bang is licensed to practice in California (license number 104) 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 1619156551.

Contact Information

Kevin Bang, DDS, MD
455 Hickey Blvd Ste 403,
Daly City, CA 94015-2630
(917) 699-2815
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKevin Bang
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location455 Hickey Blvd Ste 403, Daly City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619156551
  • Provider Enumeration Date: 10/29/2007
  • Last Update Date: 11/30/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3971827817
  • Enrollment ID: I20150123000775

Medical Identifiers

Medical identifiers for Kevin Bang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619156551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 056677 (New York)Secondary
204E00000XOral & Maxillofacial Surgery A135925 (California)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 104 (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. Kevin Bang 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 AddressPractice Location Address
Kevin Bang, DDS, MD
2520 Carlmont Dr Apt 9,
Belmont, CA 94002-3243

Ph: (917) 699-2815
Kevin Bang, DDS, MD
455 Hickey Blvd Ste 403,
Daly City, CA 94015-2630

Ph: (917) 699-2815

Reviews and Comments


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