Dr Hyoungtae Edward Kwon, MD in Santa Monica, CA

Dr Hyoungtae Edward Kwon, MD is a medicare enrolled "Anesthesiology" physician in Santa Monica, California. His current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (310) 829-5511.

Dr Hyoungtae Edward Kwon is licensed to practice in California (license number A179499) 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 1649634999.

Contact Information

	Dr Hyoungtae Edward Kwon, MD
	2121 Santa Monica Blvd, Santa Monica, CA 90404-2303
	(310) 829-5511
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Hyoungtae Edward Kwon
Gender	Male
Speciality	Anesthesiology
Location	2121 Santa Monica Blvd, Santa Monica, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649634999
Provider Enumeration Date: 04/12/2016
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 5890026587
Enrollment ID: I20221202000537

Medical Identifiers

Medical identifiers for Dr Hyoungtae Edward Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649634999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A179499 (California)	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. Dr Hyoungtae Edward Kwon allows following entities to bill medicare on his behalf.

Entity Name	Bayside Anesthesia Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184668469 PECOS PAC ID: 2466490560 Enrollment ID: O20050419001522

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. Dr Hyoungtae Edward 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
Dr Hyoungtae Edward Kwon, MD 7316 Santa Monica Blvd Apt 329, West Hollywood, CA 90046-6676 Ph: (484) 557-9974	Dr Hyoungtae Edward Kwon, MD 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 Ph: (310) 829-5511

Reviews and Comments

Anesthesiology Doctors in Santa Monica, CA

Vivek Ram Vallurupalli, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511
Dr. Daniel Sompoj Tongbai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 225, Santa Monica, CA 90404 Phone: 310-319-2241 Fax: 310-319-2263
Dr. Sophie M. Andriaschuk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202
Daniel Cherkassky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 650-823-8969
Dr. David Asher Rakoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-423-2056 Fax: 310-423-8232
Mark S. Goh, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 Fax: 310-829-8209
Dr. Kevin M. Miller, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404 Phone: 818-712-0598 Fax: 818-712-0598

Dr Hyoungtae Edward Kwon, MD - Medicare Anesthesiology in Santa Monica, CA