Sung Rae Kim, in Closter, NJ - Medicare Dentist Provider

Sung Rae Kim, is a medicare enrolled "Dentist - Prosthodontics" provider in Closter, New Jersey. His current practice location is 570 Piermont Rd, Suite C1, Closter, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 666-2828.

Sung Rae Kim is licensed to practice in New Jersey (license number DI19751) 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 1679995955.

Contact Information

	Sung Rae Kim,
	570 Piermont Rd, Suite C1, Closter, NJ 07624-3100
	(201) 666-2828
	(201) 750-2314

Map and Direction

Healthcare Provider's Profile

Full Name	Sung Rae Kim
Gender	Male
Speciality	Dentist - Prosthodontics
Location	570 Piermont Rd, Closter, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679995955
Provider Enumeration Date: 01/06/2014
Last Update Date: 01/06/2014

Medicare PECOS Information:

PECOS PAC ID: 7618300757
Enrollment ID: I20191204001670

Medical Identifiers

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

Identifier	Type	State	Issuer
1679995955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	DI19751 (New Jersey)	Primary
122300000X	Dentist	22DI01975100 (New Jersey)	Secondary
122300000X	Dentist	047461-1 (New York)	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. Sung Rae Kim allows following entities to bill medicare on his behalf.

Entity Name	Closter Dental Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578677092 PECOS PAC ID: 1456784594 Enrollment ID: O20191204001536

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. Sung Rae 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
Sung Rae Kim, 570 Piermont Road, Suite C1, Closter, NJ 07624 Ph: () -	Sung Rae Kim, 570 Piermont Rd, Suite C1, Closter, NJ 07624-3100 Ph: (201) 666-2828

Reviews and Comments

Dentist in Closter, NJ

Dr. Frank Pasquale Scartozzi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 Durie Ave, Ste 209, Closter, NJ 07624 Phone: 201-750-9910 Fax: 201-750-9907
Divya Jha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 235 Closter Dock Rd, Closter, NJ 07624 Phone: 201-768-6101
Niki Shabnam Mossaded, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 539 Durie Ave, Closter, NJ 07624 Phone: 201-767-3666 Fax: 201-767-6969
Dr. Norman G Bartner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 277 Closter Dock Rd, Closter, NJ 07624 Phone: 201-768-2112 Fax: 201-768-9650
Dr. Richard Jay Ruderman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Piermont Rd, Closter, NJ 07624 Phone: 201-768-3513 Fax: 201-768-5762
Eugenia Hsu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 235 Closter Dock Rd, Closter, NJ 07624 Phone: 201-768-6101
Dr. Steven Wong, DDS Dentist Medicare: Medicare Enrolled Practice Location: 235 Closter Dock Rd, Closter, NJ 07624 Phone: 347-229-4439

Sung Rae Kim, - Medicare Dentist in Closter, NJ