Young Han Kwon, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Santa Clara, California. His current practice location is
710 Lawrence Expy, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at
(408) 851-1000.
Young Han Kwon is licensed to practice in California (license number A183091) 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 1477081941.
Physician's Profile
Full Name | Young Han Kwon |
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Gender | Male |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
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Location | 710 Lawrence Expy, Santa Clara, California |
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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: 1477081941
- Provider Enumeration Date: 05/30/2017
- Last Update Date: 06/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880937051
- Enrollment ID: I20230727003306
Medical Identifiers
Medical identifiers for Young Han Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477081941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A183091 (California) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | A183091 (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. Young Han Kwon allows following entities to bill medicare on his behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Young Han 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 |
Young Han Kwon, DMD, MD 1186 Spruance St, San Jose, CA 95128-4244 Ph: () - | Young Han Kwon, DMD, MD 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 |
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