Jin Sang Kwon, DDS - Medicare Dentist in Modesto, CA

Jin Sang Kwon, DDS is a medicare enrolled "Dentist - General Practice" provider in Modesto, California. His current practice location is 2045 W Briggsmore Ave, Suite E, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 527-3000.

Jin Sang Kwon is licensed to practice in California (license number 53616) 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 1053473736.

Contact Information

Jin Sang Kwon, DDS
2045 W Briggsmore Ave, Suite E,
Modesto, CA 95350-3767
(209) 527-3000
Not Available



Healthcare Provider's Profile

Full NameJin Sang Kwon
GenderMale
SpecialityDentist - General Practice
Location2045 W Briggsmore Ave, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053473736
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4385922277
  • Enrollment ID: I20161027001330

Medical Identifiers

Medical identifiers for Jin Sang Kwon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053473736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 53616 (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. Jin Sang Kwon 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 AddressPractice Location Address
Jin Sang Kwon, DDS
1822 Empress Ln,
Turlock, CA 95382-8707

Ph: (209) 485-6638
Jin Sang Kwon, DDS
2045 W Briggsmore Ave, Suite E,
Modesto, CA 95350-3767

Ph: (209) 527-3000

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Dentist in Modesto, CA

Bhavini Harish Shelat, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2801 Coffee Rd, Building B, Modesto, CA 95355
Phone: 209-727-4296    
Dr. Martha L Gomez, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Coffee Rd, Suite 9a, Modesto, CA 95355
Phone: 209-522-8783    Fax: 209-526-1470
Saliem Melles Tsighe, D.M.D
Dentist
Medicare: Medicare Enrolled
Practice Location: 2200 Mchenry Ave Ste B, Modesto, CA 95350
Phone: 209-526-9132    
Dr. John R Jeppson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1429 College Ave, Suite G, Modesto, CA 95350
Phone: 209-526-0344    Fax: 209-526-0370
Dr. Samuel Ernest Bleakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mchenry Village Way Ste 1, Modesto, CA 95350
Phone: 209-577-1313    Fax: 209-577-8584
Efraim Sanson Florendo, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Coffee Rd, Modesto, CA 95055
Phone: 209-521-0100    
Lynn Zwahlen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 201 E Orangeburg Ave Ste C, Modesto, CA 95350
Phone: 209-522-5761    Fax: 209-522-1051

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