Dr Backhabwha Kim, DDS in Hagatna, GU - Medicare Dentist Provider

Dr Backhabwha Kim, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Hagatna, Guam. Her current practice location is 222 E Chalan Santo Papa Ste 304, Hagatna, Guam. You can reach out to her office (for appointments etc.) via phone at (671) 472-6824.

Dr Backhabwha Kim is licensed to practice in Guam (license number D1028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427451731.

Contact Information

	Dr Backhabwha Kim, DDS
	222 E Chalan Santo Papa Ste 304, Hagatna, GU 96910-5175
	(671) 472-6824
	Not Available

Healthcare Provider's Profile

Full Name	Dr Backhabwha Kim
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	222 E Chalan Santo Papa Ste 304, Hagatna, Guam
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427451731
Provider Enumeration Date: 09/30/2014
Last Update Date: 12/16/2019

Medicare PECOS Information:

PECOS PAC ID: 7810253069
Enrollment ID: I20171104000200

Medical Identifiers

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

Identifier	Type	State	Issuer
1427451731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DL12315 (Massachusetts)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	D1028 (Guam)	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 Backhabwha 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
Dr Backhabwha Kim, DDS 222 E Chalan Santo Papa Ste 304, Hagatna, GU 96910-5175 Ph: (671) 472-6824	Dr Backhabwha Kim, DDS 222 E Chalan Santo Papa Ste 304, Hagatna, GU 96910-5175 Ph: (671) 472-6824

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Dentist in Hagatna, GU

Mr. Jeffrey C. Johnson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Route 4 Ste 101, Hagatna, GU 96910 Phone: 671-646-7982 Fax: 671-646-7989
Mr. Rayner D. Terlaje, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 250 Route 4 Ste 101, Hagatna, GU 96910 Phone: 671-646-7982 Fax: 671-646-7989
Kunsun Lee, Dentist Medicare: Medicare Enrolled Practice Location: 222 E Chalan Santo Papa Ste 304, Hagatna, GU 96910 Phone: 671-472-6824
Jeffrey David Ives, Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 E Chalan Santo Papa, #304 Reflection Center, Hagatna, GU 96910 Phone: 671-472-6824
Gerson Sanchez Valles, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 414 W Soledad Ave Ste 300, Hagatna, GU 96910 Phone: 671-472-2489 Fax: 671-477-9275
Robert Roy Gatewood, D.D.S., M.S., PERIOD Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 East Chalan Santo Papa, Suite 303, Hagatna, GU 96910 Phone: 671-477-2379 Fax: 671-477-2387

Dr Backhabwha Kim, DDS - Medicare Dentist in Hagatna, GU