John W Kim, DMD in Fayetteville, GA - Medicare Dentist Provider

John W Kim, DMD is a medicare enrolled "Dentist - General Practice" provider in Fayetteville, Georgia. His current practice location is 1135 Highway 85 N Ste A, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (407) 587-9665.

John W Kim is licensed to practice in Georgia (license number DN122546) 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 1083978266.

Contact Information

	John W Kim, DMD
	1135 Highway 85 N Ste A, Fayetteville, GA 30214-2085
	(407) 587-9665
	Not Available

Healthcare Provider's Profile

Full Name	John W Kim
Gender	Male
Speciality	Dentist - General Practice
Location	1135 Highway 85 N Ste A, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083978266
Provider Enumeration Date: 07/02/2012
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0446563233
Enrollment ID: I20150722006363

Medical Identifiers

Medical identifiers for John W Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083978266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN19740 (Florida)	Secondary
1223G0001X	Dentist - General Practice	DN19740 (Florida)	Secondary
1223G0001X	Dentist - General Practice	DN122546 (Georgia)	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. John W 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
John W Kim, DMD 1135 Highway 85 N Ste A, Fayetteville, GA 30214-2085 Ph: (407) 587-9665	John W Kim, DMD 1135 Highway 85 N Ste A, Fayetteville, GA 30214-2085 Ph: (407) 587-9665

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Dentist in Fayetteville, GA

Bhavik P Shah, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 315, Fayetteville, GA 30214 Phone: 770-478-6878 Fax: 770-478-4642
Laura Marie Carn Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 290 Highway 314, Suite A, Fayetteville, GA 30214 Phone: 770-460-6060 Fax: 770-461-0541
Zachary Wilson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Price Rd, Fayetteville, GA 30215 Phone: 770-460-9795
Charles Edwin Barber, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Howard Ln, Fayetteville, GA 30215 Phone: 770-461-9935 Fax: 770-461-3871
Dr. Shineille Blair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 719 Lanier Ave W, Fayetteville, GA 30214 Phone: 770-615-0999 Fax: 770-731-2385
Dr. Tara Austin Fogle, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 98 N Park Dr, Fayetteville, GA 30214 Phone: 770-461-1141 Fax: 770-461-1143

John W Kim, DMD - Medicare Dentist in Fayetteville, GA