Soon Kwon, in Bronx, NY - Medicare Dentist Provider

Soon Kwon, is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Bronx, New York. Her current practice location is 1276 Fulton Ave Rm 208, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 901-8918.

Soon Kwon is licensed to practice in New York (license number 055964) 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 1194984773.

Contact Information

	Soon Kwon,
	1276 Fulton Ave Rm 208, Bronx, NY 10456-3402
	(718) 901-8918
	(718) 901-8918

Map and Direction

Healthcare Provider's Profile

Full Name	Soon Kwon
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	1276 Fulton Ave Rm 208, Bronx, 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: 1194984773
Provider Enumeration Date: 06/09/2008
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7315314283
Enrollment ID: I20221106000032

Medical Identifiers

Medical identifiers for Soon Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194984773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	DN014056 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	2704 (Ohio)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	055964 (New York)	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. Soon Kwon allows following entities to bill medicare on her behalf.

Entity Name	Downtown Bronx Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016

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. Soon Kwon 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
Soon Kwon, 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 Ph: (718) 901-8918	Soon Kwon, 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 Ph: (718) 901-8918

Reviews and Comments

Dentist in Bronx, NY

Dr. Victoire Bogui, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1770 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8110 Fax: 718-901-8121
Dr. Amit Punj, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3450 Wayne Ave, Apt 13 H, Bronx, NY 10467 Phone: 918-850-1030
Dr. Hadley S Bach, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1966 Newbold Ave, Suite 107, Bronx, NY 10472 Phone: 718-863-9733
Khrystyna Leskiv, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1775 Grand Concourse, Bronx, NY 10453 Phone: 718-992-7669
Dr. Klenise Paranhos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2386 Jerome Ave, Bronx, NY 10546 Phone: 718-220-1771
David Tashman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4601 Henry Hudson Pkwy W, A-11, Bronx, NY 10471 Phone: 718-519-0500
Dr. Mary Sayegh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321

Soon Kwon, - Medicare Dentist in Bronx, NY