Nicholas S Kim, DMD MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Fall River, Massachusetts. His current practice location is
180 Elsbree St, Fall River, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 672-1069.
Nicholas S Kim is licensed to practice in Massachusetts (license number DN1859729) 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 1457994980.
Physician's Profile
Full Name | Nicholas S Kim |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 180 Elsbree St, Fall River, Massachusetts |
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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: 1457994980
- Provider Enumeration Date: 10/28/2019
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830523927
- Enrollment ID: I20230724002225
Medical Identifiers
Medical identifiers for Nicholas S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457994980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 1016683 (Massachusetts) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1859729 (Massachusetts) | 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. Nicholas S Kim allows following entities to bill medicare on his behalf.
Entity Name | Dental Surgeons Of Fall River Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609886720 PECOS PAC ID: 2567469018 Enrollment ID: O20061026000276 |
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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. Nicholas S 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 |
Nicholas S Kim, DMD MD 180 Elsbree St, Fall River, MA 02720-7212 Ph: (508) 672-1069 | Nicholas S Kim, DMD MD 180 Elsbree St, Fall River, MA 02720-7212 Ph: (508) 672-1069 |
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