Dr Alexander Yoo-ahng Koh, DDS - Medicare Dentist in Riverside, CA

Dr Alexander Yoo-ahng Koh, DDS is a medicare enrolled "Dentist - Periodontics" provider in Riverside, California. His current practice location is 6860 Brockton Ave Ste 4, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 686-5852.

Dr Alexander Yoo-ahng Koh is licensed to practice in California (license number 40164) 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 1154531267.

Contact Information

Dr Alexander Yoo-ahng Koh, DDS
6860 Brockton Ave Ste 4,
Riverside, CA 92506-3816
(951) 686-5852
(951) 686-5853



Healthcare Provider's Profile

Full NameDr Alexander Yoo-ahng Koh
GenderMale
SpecialityDentist - Periodontics
Location6860 Brockton Ave Ste 4, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154531267
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 01/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638461965
  • Enrollment ID: I20160707001022

Medical Identifiers

Medical identifiers for Dr Alexander Yoo-ahng Koh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154531267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics 40164 (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. Dr Alexander Yoo-ahng Koh 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 AddressPractice Location Address
Dr Alexander Yoo-ahng Koh, DDS
6860 Brockton Ave Ste 4,
Riverside, CA 92506-3816

Ph: (951) 686-5852
Dr Alexander Yoo-ahng Koh, DDS
6860 Brockton Ave Ste 4,
Riverside, CA 92506-3816

Ph: (951) 686-5852

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