Eunkyo Cho, DDS in San Rafael, CA - Medicare Dentist Provider

Eunkyo Cho, DDS is a medicare enrolled "Dentist - General Practice" provider in San Rafael, California. Her current practice location is 3110 Kerner Blvd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 448-1500.

Eunkyo Cho is licensed to practice in California (license number 101962) 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 1003264870.

Contact Information

	Eunkyo Cho, DDS
	3110 Kerner Blvd, San Rafael, CA 94901-5411
	(415) 448-1500
	Not Available

Healthcare Provider's Profile

Full Name	Eunkyo Cho
Gender	Female
Speciality	Dentist - General Practice
Location	3110 Kerner Blvd, San Rafael, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003264870
Provider Enumeration Date: 06/02/2016
Last Update Date: 10/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5395003263
Enrollment ID: I20171222000919

Medical Identifiers

Medical identifiers for Eunkyo Cho such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003264870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	101962 (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. Eunkyo Cho 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
Eunkyo Cho, DDS 1050 Court St Apt 116, San Rafael, CA 94901-2955 Ph: (507) 779-4458	Eunkyo Cho, DDS 3110 Kerner Blvd, San Rafael, CA 94901-5411 Ph: (415) 448-1500

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Dentist in San Rafael, CA

Dr. Ezra H Kantor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 750 Las Gallinas Ave, San Rafael, CA 94903 Phone: 415-492-1616 Fax: 415-492-0466
Stuart Holloway Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1534 5th Ave, San Rafael, CA 94901 Phone: 415-454-1345
Dr. Anthony D Collard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 880 Las Gallinas Ave, Suite #5, San Rafael, CA 94903 Phone: 415-479-8747 Fax: 415-479-9960
Gary A Grablin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 D Street, San Rafael, CA 94901 Phone: 415-454-3222 Fax: 415-454-8741
Dr. James A Mcdowell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1721 5th Ave, San Rafael, CA 94901 Phone: 415-453-4720 Fax: 415-453-4727
Dr. Michael Gerald Dab, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 750 Las Gallinas Ave, Ste 111, San Rafael, CA 94903 Phone: 415-472-5211 Fax: 415-472-1046

Eunkyo Cho, DDS - Medicare Dentist in San Rafael, CA