Masako Komiyama, LICSW, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Seattle, Washington. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Asian Counseling And Referral Service and her current practice location is
3639 Martin Luther King Jr Way S, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 695-7600.
Masako Komiyama is licensed to practice in Washington (license number AP60994940) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790113413.
Healthcare Provider's Profile
| Full Name | Masako Komiyama |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 3639 Martin Luther King Jr Way S, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Masako Komiyama graduated from medical school in 2019
NPI Data:
- NPI Number: 1790113413
- Provider Enumeration Date: 10/15/2013
- Last Update Date: 10/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799119483
- Enrollment ID: I20200106002351
Medical Identifiers
Medical identifiers for Masako Komiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790113413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 743080021 (Washington) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60994940 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Asian Counseling And Referral Service | 9830087022 | 9 |
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. Masako Komiyama allows following entities to bill medicare on her behalf.
| Entity Name | Asian Counseling And Referral Service |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1962507442
PECOS PAC ID: 9830087022
Enrollment ID: O20040309000716 |
|---|
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. Masako Komiyama 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 |
|---|
Masako Komiyama, LICSW, ARNP
3639 Martin Luther King Jr Way S,
Seattle, WA 98144-6847
Ph: (206) 695-7600 | Masako Komiyama, LICSW, ARNP
3639 Martin Luther King Jr Way S,
Seattle, WA 98144
Ph: (206) 695-7600 |
Reviews and Comments