Kibeom Seo, DDS in New Britain, CT - Medicare Dentist Provider

Kibeom Seo, DDS is a medicare enrolled "Dentist - General Practice" provider in New Britain, Connecticut. His current practice location is 105 Myrtle St, New Britain, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 801-8650.

Kibeom Seo is licensed to practice in Connecticut (license number 12938) 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 1205430816.

Contact Information

	Kibeom Seo, DDS
	105 Myrtle St, New Britain, CT 06051-1859
	(860) 801-8650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kibeom Seo
Gender	Male
Speciality	Dentist - General Practice
Location	105 Myrtle St, New Britain, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205430816
Provider Enumeration Date: 11/24/2020
Last Update Date: 11/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9234536806
Enrollment ID: I20221230001742

Medical Identifiers

Medical identifiers for Kibeom Seo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205430816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12938 (Connecticut)	Primary
122300000X	Dentist	12938 (Connecticut)	Secondary

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. Kibeom Seo allows following entities to bill medicare on his behalf.

Entity Name	Staywell Health Care Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374

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. Kibeom Seo 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
Kibeom Seo, DDS 4234 Town Brooke, Middletown, CT 06457-6612 Ph: (716) 352-8080	Kibeom Seo, DDS 105 Myrtle St, New Britain, CT 06051-1859 Ph: (860) 801-8650

Reviews and Comments

Dentist in New Britain, CT

Dr. Richard Alfred Lechner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 35 Pearl St, New Britain, CT 06051 Phone: 860-229-8689 Fax: 860-224-7734
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Ritu Mohan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Bradford Walk, New Britain, CT 06053 Phone: 203-883-9303
Dr. Victor Oraeki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 446 S Main St, New Britain, CT 06051 Phone: 301-291-8532
Christina Helfrich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Lake St Ste 203, New Britain, CT 06052 Phone: 860-356-3727
Dr. Michelle Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Myrtle St, New Britain, CT 06051 Phone: 860-801-8650
Smruti Deshpande, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Myrtle St, New Britain, CT 06051 Phone: 860-356-0057

Kibeom Seo, DDS - Medicare Dentist in New Britain, CT