Dr Sam Yh Kim, DDS in Olivehurst, CA - Medicare Dentist Provider

Dr Sam Yh Kim, DDS is a medicare enrolled "Dentist - General Practice" provider in Olivehurst, California. His current practice location is 4941 Olivehurst Ave, Olivehurst, California. You can reach out to his office (for appointments etc.) via phone at (530) 743-4611.

Dr Sam Yh Kim is licensed to practice in California (license number 46396) 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 1073540621.

Contact Information

	Dr Sam Yh Kim, DDS
	4941 Olivehurst Ave, Olivehurst, CA 95961-4225
	(530) 743-4611
	Not Available

Healthcare Provider's Profile

Full Name	Dr Sam Yh Kim
Gender	Male
Speciality	Dentist - General Practice
Location	4941 Olivehurst Ave, Olivehurst, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073540621
Provider Enumeration Date: 06/27/2006
Last Update Date: 07/14/2021

Medicare PECOS Information:

PECOS PAC ID: 2365871274
Enrollment ID: I20200327002360

Medical Identifiers

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

Identifier	Type	State	Issuer
1073540621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	28438 (Texas)	Secondary
1223G0001X	Dentist - General Practice	46396 (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 Sam Yh 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 Sam Yh Kim, DDS 12613 Lincolnshire Dr, Bakersfield, CA 93311-9586 Ph: (702) 561-7996	Dr Sam Yh Kim, DDS 4941 Olivehurst Ave, Olivehurst, CA 95961-4225 Ph: (530) 743-4611

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Dentist in Olivehurst, CA

Gary R. Amatangelo, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4941 Olivehurst Ave, Olivehurst, CA 95961 Phone: 530-743-4614 Fax: 530-743-1883
Diane C Schill, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 4941 Olivehurst Ave, Olivehurst, CA 95961 Phone: 530-743-4614 Fax: 530-743-1883
Lauren G Kondo, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4941 Olivehurst Ave, Olivehurst, CA 95961 Phone: 530-743-4614 Fax: 530-743-1883

Dr Sam Yh Kim, DDS - Medicare Dentist in Olivehurst, CA