Kyungsup Shin, DMD in Iowa City, IA - Medicare Dentist Provider

Kyungsup Shin, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Iowa City, Iowa. His current practice location is 219 Dental Science Bldg S, Iowa City, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 335-7287.

Kyungsup Shin is licensed to practice in Iowa (license number 40155) 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 1023446853.

Contact Information

	Kyungsup Shin, DMD
	219 Dental Science Bldg S, Iowa City, IA 52242-1001
	(319) 335-7287
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kyungsup Shin
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	219 Dental Science Bldg S, Iowa City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023446853
Provider Enumeration Date: 10/14/2013
Last Update Date: 08/14/2015

Medicare PECOS Information:

PECOS PAC ID: 6406109727
Enrollment ID: I20181101003391

Medical Identifiers

Medical identifiers for Kyungsup Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023446853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	40155 (Iowa)	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. Kyungsup Shin allows following entities to bill medicare on his behalf.

Entity Name	State University Of Iowa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060

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. Kyungsup Shin 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
Kyungsup Shin, DMD 322 Dental Science Bldg S, Iowa City, IA 52242-1001 Ph: (319) 335-7440	Kyungsup Shin, DMD 219 Dental Science Bldg S, Iowa City, IA 52242-1001 Ph: (319) 335-7287

Reviews and Comments

Dentist in Iowa City, IA

Michael L Santucci, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 322 Dental Science Bldg S, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-333-7451
Dr. Justin William Nichols, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Dr. Uzair Ahmad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 Newton Rd, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Dr. Stephen T Bender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1513 Mall Dr, Iowa City, IA 52240 Phone: 319-354-1409 Fax: 319-354-3113
Dr. Thomas J. Bauer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 Dental Science S, Iowa City, IA 52242 Phone: 319-384-1139 Fax: 319-384-1785
Karin Weber-gasparoni, DDS MS PHD Dentist Medicare: Medicare Enrolled Practice Location: 322 S Dental Science Bldg, Center For Disability And Development, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451
Steven Douglas Vincent, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 S Dental Science Bldg, Iowa City, IA 52242 Phone: 319-335-7440 Fax: 319-335-7451

Kyungsup Shin, DMD - Medicare Dentist in Iowa City, IA