Dr Sean Hyungbeom Kim, in Groton, CT - Medicare Dentist Provider

Dr Sean Hyungbeom Kim, is a medicare enrolled "Dentist - General Practice" provider in Groton, Connecticut. His current practice location is 115 Bridge St, Groton, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 446-8744.

Dr Sean Hyungbeom Kim is licensed to practice in Connecticut (license number 8716) 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 1225230998.

Contact Information

	Dr Sean Hyungbeom Kim,
	115 Bridge St, Groton, CT 06340-3603
	(860) 446-8744
	(860) 448-3780

Healthcare Provider's Profile

Full Name	Dr Sean Hyungbeom Kim
Gender	Male
Speciality	Dentist - General Practice
Location	115 Bridge St, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225230998
Provider Enumeration Date: 06/04/2007
Last Update Date: 10/08/2015

Medicare PECOS Information:

PECOS PAC ID: 0648589572
Enrollment ID: I20151015002283

Medical Identifiers

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

Identifier	Type	State	Issuer
1225230998	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	8716 (Connecticut)	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 Sean Hyungbeom 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 Sean Hyungbeom Kim, 115 Bridge St, Groton, CT 06340-3603 Ph: (860) 446-8744	Dr Sean Hyungbeom Kim, 115 Bridge St, Groton, CT 06340-3603 Ph: (860) 446-8744

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Dentist in Groton, CT

Dr. Itzel Medina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3736
Dr. Matthew Braden Burns Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3094
Dr. Jimmy Nazih Suliman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-3738
Dr. J Michael Tiberii, Dentist Medicare: Not Enrolled in Medicare Practice Location: 643 Route 184, Groton, CT 06340 Phone: 860-445-8569
Dr. Samuel Duberowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wahoo Ave, Groton, CT 06349 Phone: 860-694-4123
Dr. Thomas Matthew Goebel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 491 Gold Star Hwy Ste 200, Groton, CT 06340 Phone: 860-446-2357 Fax: 860-446-2359
Josh Cribbs, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Wayhoo Drive, Nmrtc Groton: Credentials Coordinator, Groton, CT 06349 Phone: 860-694-2377

Dr Sean Hyungbeom Kim, - Medicare Dentist in Groton, CT