Young Shin, DDS in Berwyn, IL - Medicare Dentist Provider

Young Shin, DDS is a medicare enrolled "Dentist - General Practice" provider in Berwyn, Illinois. Her current practice location is 6201 Roosevelt Rd, Berwyn, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 386-0845.

Young Shin is licensed to practice in Illinois (license number 019029678) 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 1104256015.

Contact Information

	Young Shin, DDS
	6201 Roosevelt Rd, Berwyn, IL 60402-1108
	(708) 386-0845
	(708) 386-8472

Map and Direction

Healthcare Provider's Profile

Full Name	Young Shin
Gender	Female
Speciality	Dentist - General Practice
Location	6201 Roosevelt Rd, Berwyn, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104256015
Provider Enumeration Date: 11/14/2013
Last Update Date: 01/02/2020

Medicare PECOS Information:

PECOS PAC ID: 1254676356
Enrollment ID: I20240515001564

Medical Identifiers

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

Identifier	Type	State	Issuer
1104256015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019029678 (Illinois)	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. Young Shin allows following entities to bill medicare on her behalf.

Entity Name	Detroit Central City Community Mental Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285043406 PECOS PAC ID: 3274728829 Enrollment ID: O20101109001334

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. Young 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
Young Shin, DDS 303 Andrews Dr, Belvidere, IL 61008-3918 Ph: () -	Young Shin, DDS 6201 Roosevelt Rd, Berwyn, IL 60402-1108 Ph: (708) 386-0845

Reviews and Comments

Dentist in Berwyn, IL

Dr. Margaret Anne Vizgirda, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6600 26th St, Berwyn, IL 60402 Phone: 708-788-6600 Fax: 708-788-0432
Mahmood Hassan Ali Haider Al Gailani, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6301 Cermak Rd Ste B, Berwyn, IL 60402 Phone: 708-956-7516
Dr. Daniel Mark Salerno, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6436 West Cermak Rd, Berwyn, IL 60402 Phone: 708-484-2710 Fax: 708-484-2702
Dr. Ladd Joseph Kulhanek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6642 Cermak Rd, Berwyn, IL 60402 Phone: 708-749-3222
Dr. Marsha A Babka, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2841 Home Ave, Berwyn, IL 60402 Phone: 708-484-3736
Dr. Claudia Rae Romanek, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6642 Cermak Rd, Berwyn, IL 60402 Phone: 708-749-3222

Young Shin, DDS - Medicare Dentist in Berwyn, IL