Kahwa Kim, in Fremont, CA - Medicare Dentist Provider

Kahwa Kim, is a medicare enrolled "Dentist - General Practice" provider in Fremont, California. Her current practice location is 3055 Mowry Ave, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (501) 789-0895.

Kahwa Kim is licensed to practice in California (license number 101501) 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 1457809287.

Contact Information

	Kahwa Kim,
	3055 Mowry Ave, Fremont, CA 94538-1613
	(501) 789-0895
	Not Available

Healthcare Provider's Profile

Full Name	Kahwa Kim
Gender	Female
Speciality	Dentist - General Practice
Location	3055 Mowry Ave, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457809287
Provider Enumeration Date: 09/21/2016
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5193007383
Enrollment ID: I20170124000775

Medical Identifiers

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

Identifier	Type	State	Issuer
1457809287	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6840 (Nevada)	Secondary
1223G0001X	Dentist - General Practice	101501 (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. Kahwa 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
Kahwa Kim, 3200 Zanker Rd Unit 1428, San Jose, CA 95134-1990 Ph: (702) 701-4013	Kahwa Kim, 3055 Mowry Ave, Fremont, CA 94538-1613 Ph: (501) 789-0895

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Dentist in Fremont, CA

Dr. Kinjal Patel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 48087 Purpleleaf St, Fremont, CA 94539 Phone: 510-651-9474
Dr. Lowell Thomas, DMD Dentist Medicare: Medicare Enrolled Practice Location: 46923 Warm Springs Blvd Ste 209, Fremont, CA 94539 Phone: 510-490-5578
Aaron Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2243 Mowry Ave Ste B, Fremont, CA 94538 Phone: 510-797-8991
Punam Patel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 46921 Warm Springs Blvd Ste 203, Fremont, CA 94539 Phone: 510-792-7888
Dr. Howard Chun-cheung Tsui, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 38050 Martha Ave, Fremont, CA 94536 Phone: 510-429-9888
Dr. Matthew Moore Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 46592 Mission Blvd, Fremont, CA 94539 Phone: 510-490-3737 Fax: 510-490-1439
Dr. Archana Gulati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 39200 Liberty St, Suite D, Fremont, CA 94538 Phone: 510-797-9711 Fax: 510-797-9727

Kahwa Kim, - Medicare Dentist in Fremont, CA