Dr Jieon Kim, DDS in Alexandria, VA - Medicare Dentist Provider

Dr Jieon Kim, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Alexandria, Virginia. Her current practice location is 6354 Walker Ln Ste 103, Alexandria, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 417-9722.

Dr Jieon Kim is licensed to practice in Virginia (license number 0401417707) 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 1578946604.

Contact Information

	Dr Jieon Kim, DDS
	6354 Walker Ln Ste 103, Alexandria, VA 22310-3242
	(703) 417-9722
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jieon Kim
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	6354 Walker Ln Ste 103, Alexandria, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578946604
Provider Enumeration Date: 07/07/2015
Last Update Date: 11/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6507144144
Enrollment ID: I20161101002758

Medical Identifiers

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

Identifier	Type	State	Issuer
1578946604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	0401417707 (Virginia)	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 Jieon 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 Jieon Kim, DDS 6354 Walker Ln Ste 103, Alexandria, VA 22310-3242 Ph: () -	Dr Jieon Kim, DDS 6354 Walker Ln Ste 103, Alexandria, VA 22310-3242 Ph: (703) 417-9722

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Dentist in Alexandria, VA

Dr. David Palmieri, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1650 King St Ste 300, Alexandria, VA 22314 Phone: 703-836-0006 Fax: 703-836-0009
Dr. Richard T. Stone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 East Oxford Avenue, Alexandria, VA 22301 Phone: 703-548-5042 Fax: 703-548-2832
Dr. James John Donahue Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1707 Osage St, Ste 102, Alexandria, VA 22302 Phone: 703-998-6558 Fax: 703-998-7278
Quynh-trang Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6230c N Kings Hwy, Alexandria, VA 22303 Phone: 703-768-9400 Fax: 703-768-9700
Dr. Harvey Wenick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1411 Key Dr, Alexandria, VA 22302 Phone: 703-751-9280 Fax: 703-751-3789
Dr. Noor Al Obaidi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 50 S Pickett St Ste 29, Alexandria, VA 22304 Phone: 571-775-5555
Nour Hussam Tellawi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6000 Stevenson Ave Ste 103, Alexandria, VA 22304 Phone: 571-297-2855

Dr Jieon Kim, DDS - Medicare Dentist in Alexandria, VA