Maria Kim, DDS in Chino Hills, CA - Medicare Dentist Provider

Maria Kim, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Chino Hills, California. Her current practice location is 15911 Pomona Rincon Rd Ste 120, Chino Hills, California. You can reach out to her office (for appointments etc.) via phone at (909) 497-9449.

Maria Kim is licensed to practice in California (license number 65123) 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 1053778241.

Contact Information

	Maria Kim, DDS
	15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567
	(909) 497-9449
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maria Kim
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	15911 Pomona Rincon Rd Ste 120, Chino Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053778241
Provider Enumeration Date: 01/20/2016
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0446531230
Enrollment ID: I20230829000428

Medical Identifiers

Medical identifiers for Maria Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053778241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	65123 (California)	Primary
1223G0001X	Dentist - General Practice	65123 (California)	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. Maria Kim allows following entities to bill medicare on her behalf.

Entity Name	Priyawat And Kim Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801461561 PECOS PAC ID: 6406219450 Enrollment ID: O20230824000888

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. Maria Kim 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
Maria Kim, DDS 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567 Ph: (909) 497-9449	Maria Kim, DDS 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567 Ph: (909) 497-9449

Reviews and Comments

Dentist in Chino Hills, CA

Alexander Santos X, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4183 Chino Hills Pkwy Ste H, Chino Hills, CA 91709 Phone: 909-393-5300
Rupporn Priyawat, Dentist Medicare: Medicare Enrolled Practice Location: 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709 Phone: 909-497-9449
Dr. Dillon Pingchuen Yap, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14270 Chino Hills Pkwy, Chino Hills, CA 91709 Phone: 909-590-2229
Sung W Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709 Phone: 909-393-1388 Fax: 909-393-7588
Danny Cho, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456
Dr. Jeffrey Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456

Maria Kim, DDS - Medicare Dentist in Chino Hills, CA