Dr Sooyong Kim, DDS in Sacramento, CA - Medicare Dentist Provider

Dr Sooyong Kim, DDS is a medicare enrolled "Dentist" provider in Sacramento, California. His current practice location is 3307 Alta Arden Expy, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 974-1819.

Dr Sooyong Kim is licensed to practice in California (license number 56461) 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 1063698629.

Contact Information

	Dr Sooyong Kim, DDS
	3307 Alta Arden Expy, Sacramento, CA 95825-2102
	(916) 974-1819
	(916) 974-7568

Healthcare Provider's Profile

Full Name	Dr Sooyong Kim
Gender	Male
Speciality	Dentist
Location	3307 Alta Arden Expy, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063698629
Provider Enumeration Date: 01/14/2008
Last Update Date: 12/26/2023

Medicare PECOS Information:

PECOS PAC ID: 4284021585
Enrollment ID: I20220504002072

Medical Identifiers

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

Identifier	Type	State	Issuer
1063698629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	56461 (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 Sooyong 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 Sooyong Kim, DDS 3307 Alta Arden Expy, Sacramento, CA 95825-2102 Ph: (916) 974-1819	Dr Sooyong Kim, DDS 3307 Alta Arden Expy, Sacramento, CA 95825-2102 Ph: (916) 974-1819

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Dentist in Sacramento, CA

David Brian Hull, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 Avondale Ave, Suite #2, Sacramento, CA 95825 Phone: 916-481-5990 Fax: 916-481-0661
Dr. Mark Atsushi Kujiraoka, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 Eastern Avenue, Suite #2, Sacramento, CA 95821 Phone: 916-483-7459 Fax: 916-483-0604
Grace You, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7260 E Southgate Dr, Sacramento, CA 95823 Phone: 916-393-5881
Dr. Lindsay M Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 925 Secret River Dr, Suite 2a, Sacramento, CA 95831 Phone: 916-905-0345 Fax: 888-678-2930
Agnes Sicat Yumiaco, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Scripps Dr Ste 305, Sacramento, CA 95825 Phone: 916-929-0248 Fax: 916-929-0244
Dr. Brian Francis Bolstad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 24th St Ste 102, Sacramento, CA 95816 Phone: 916-497-0487 Fax: 916-497-0451
Dr. Thomas Wey Fong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3701 J St, Suite 200, Sacramento, CA 95816 Phone: 916-457-7080 Fax: 916-457-7088

Dr Sooyong Kim, DDS - Medicare Dentist in Sacramento, CA