Yoko Ichimura, LCPC in Los Angeles, CA - Medicare Counselor Provider

Yoko Ichimura, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Los Angeles, California. Her current practice location is 11845 W Olympic Blvd Ste 1050w, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (707) 408-2519.

Yoko Ichimura is licensed to practice in Montana (license number 1526) 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 1548563315.

Contact Information

	Yoko Ichimura, LCPC
	11845 W Olympic Blvd Ste 1050w, Los Angeles, CA 90064-5046
	(707) 408-2519
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yoko Ichimura
Gender	Female
Speciality	Counselor - Mental Health
Location	11845 W Olympic Blvd Ste 1050w, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548563315
Provider Enumeration Date: 12/16/2010
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 8628511060
Enrollment ID: I20240613003557

Medical Identifiers

Medical identifiers for Yoko Ichimura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548563315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1526 (Montana)	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. Yoko Ichimura allows following entities to bill medicare on her behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

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. Yoko Ichimura 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
Yoko Ichimura, LCPC 11845 W Olympic Blvd Ste 1050w, Los Angeles, CA 90064-5046 Ph: () -	Yoko Ichimura, LCPC 11845 W Olympic Blvd Ste 1050w, Los Angeles, CA 90064-5046 Ph: (707) 408-2519

Reviews and Comments

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Yoko Ichimura, LCPC - Medicare Counselor in Los Angeles, CA