Christina Dasl Kwon, MD is a medicare enrolled "Dermatology" physician in Fulshear, Texas. Her current practice location is
27131 Fulshear Bend Dr, Fulshear, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 612-0050.
Christina Dasl Kwon is licensed to practice in Texas (license number U6742) 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 1619482213.
Physician's Profile
Full Name | Christina Dasl Kwon |
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Gender | Female |
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Speciality | Dermatology |
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Location | 27131 Fulshear Bend Dr, Fulshear, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619482213
- Provider Enumeration Date: 12/05/2017
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547660995
- Enrollment ID: I20240830001289
Medical Identifiers
Medical identifiers for Christina Dasl Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619482213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | U6742 (Texas) | 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. Christina Dasl Kwon allows following entities to bill medicare on her behalf.
Entity Name | Elite Dermatology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104337526 PECOS PAC ID: 8729345285 Enrollment ID: O20171208000975 |
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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. Christina Dasl 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 |
Christina Dasl Kwon, MD 27131 Fulshear Bend Dr, Fulshear, TX 77441-1231 Ph: () - | Christina Dasl Kwon, MD 27131 Fulshear Bend Dr, Fulshear, TX 77441-1231 Ph: (281) 612-0050 |
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