Nicholas S Kim, DMD MD - Medicare Dentist in Fall River, MA

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Nicholas S Kim, DMD MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Fall River, Massachusetts. His current practice location is 180 Elsbree St, Fall River, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 672-1069.

Nicholas S Kim is licensed to practice in Massachusetts (license number DN1859729) 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 1457994980.

Contact Information

Nicholas S Kim, DMD MD
180 Elsbree St,
Fall River, MA 02720-7212
(508) 672-1069
Not Available



Physician's Profile

Full NameNicholas S Kim
GenderMale
SpecialityDentist - Oral And Maxillofacial Surgery
Location180 Elsbree St, Fall River, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457994980
  • Provider Enumeration Date: 10/28/2019
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830523927
  • Enrollment ID: I20230724002225

Medical Identifiers

Medical identifiers for Nicholas S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457994980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 1016683 (Massachusetts)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DN1859729 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas S Kim allows following entities to bill medicare on his behalf.
Entity NameDental Surgeons Of Fall River Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609886720
PECOS PAC ID: 2567469018
Enrollment ID: O20061026000276

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicholas S Kim, DMD MD
180 Elsbree St,
Fall River, MA 02720-7212

Ph: (508) 672-1069		Nicholas S Kim, DMD MD
180 Elsbree St,
Fall River, MA 02720-7212

Ph: (508) 672-1069

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