Donghwan Kim, DDS in Sanger, CA - Medicare Dentist Provider

Donghwan Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Sanger, California. His current practice location is 1570 7th St, Sanger, California. You can reach out to his office (for appointments etc.) via phone at (800) 492-4227.

Donghwan Kim is licensed to practice in California (license number 103804) 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 1164082483.

Contact Information

	Donghwan Kim, DDS
	1570 7th St, Sanger, CA 93657-2402
	(800) 492-4227
	Not Available

Healthcare Provider's Profile

Full Name	Donghwan Kim
Gender	Male
Speciality	Dentist - General Practice
Location	1570 7th St, Sanger, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164082483
Provider Enumeration Date: 06/18/2019
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6002238144
Enrollment ID: I20200618003129

Medical Identifiers

Medical identifiers for Donghwan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164082483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	103804 (California)	Primary

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. Donghwan 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
Donghwan Kim, DDS 2940 W Tyler Ave, Visalia, CA 93291-6567 Ph: (559) 331-9502	Donghwan Kim, DDS 1570 7th St, Sanger, CA 93657-2402 Ph: (800) 492-4227

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Dentist in Sanger, CA

Dr. Herbert Lance Crooks, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2434 Jensen, Sanger, CA 93657 Phone: 559-875-5538 Fax: 559-875-1575
Dr. Timothy Edward Prewitt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1615 7th St, Sanger, CA 93657 Phone: 559-875-3927
Dr. Kim Hoang Tran, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Academy Ave, Sanger, CA 93657 Phone: 559-876-1031 Fax: 559-876-1341
Ramandeep Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2432 Jensen Ave, Sanger, CA 93657 Phone: 559-875-5538
Myra R. Van Hoff, DDS Dentist Medicare: Medicare Enrolled Practice Location: 801 N St, Sanger, CA 93657 Phone: 559-876-1777 Fax: 559-876-2763
Gary Larsen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1939 Academy Ave, Sanger, CA 93657 Phone: 559-875-6900

Donghwan Kim, DDS - Medicare Dentist in Sanger, CA