Sahng Gyoon Kim, DDS, MS in New York, NY - Medicare Dentist Provider

Sahng Gyoon Kim, DDS, MS is a medicare enrolled "Dentist - Endodontics" provider in New York, New York. His current practice location is 100 Haven Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 342-0107.

Sahng Gyoon Kim is licensed to practice in New York (license number 056438) 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 1619201373.

Contact Information

	Sahng Gyoon Kim, DDS, MS
	100 Haven Ave, New York, NY 10032-2645
	(212) 342-0107
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sahng Gyoon Kim
Gender	Male
Speciality	Dentist - Endodontics
Location	100 Haven Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619201373
Provider Enumeration Date: 09/29/2009
Last Update Date: 10/11/2012

Medicare PECOS Information:

PECOS PAC ID: 2062703184
Enrollment ID: I20160621002037

Medical Identifiers

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

Identifier	Type	State	Issuer
1619201373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	000009 (New York)	Secondary
1223E0200X	Dentist - Endodontics	056438 (New York)	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. Sahng Gyoon 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
Sahng Gyoon Kim, DDS, MS 630 W 168th St Ph 7stem, New York, NY 10032-3725 Ph: (215) 971-5811	Sahng Gyoon Kim, DDS, MS 100 Haven Ave, New York, NY 10032-2645 Ph: (212) 342-0107

Reviews and Comments

Dentist in New York, NY

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David Formosan Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 E 40th St Rm 305, New York, NY 10016 Phone: 212-370-1919
Dr. Grace Lee-hin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 80 Park Ave, #1a, New York, NY 10016 Phone: 212-986-1112 Fax: 212-986-1110
Dr. Rosemarie Zimmerman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 147 W 58th St, New York, NY 10019 Phone: 212-245-0055 Fax: 212-245-0994

Sahng Gyoon Kim, DDS, MS - Medicare Dentist in New York, NY