Andrew James Kawasaki, DDS in Memphis, TN - Medicare Dentist Provider

Andrew James Kawasaki, DDS is a medicare enrolled "Dentist" provider in Memphis, Tennessee. His current practice location is 2953 Broad Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 842-3171.

Andrew James Kawasaki is licensed to practice in Tennessee (license number 11591) 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 1679167092.

Contact Information

	Andrew James Kawasaki, DDS
	2953 Broad Ave, Memphis, TN 38112-2957
	(901) 842-3171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew James Kawasaki
Gender	Male
Speciality	Dentist
Location	2953 Broad Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679167092
Provider Enumeration Date: 02/25/2021
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 5890161780
Enrollment ID: I20221018001346

Medical Identifiers

Medical identifiers for Andrew James Kawasaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679167092	NPI	-	NPPES
11591	Other	TN	DENTAL LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	11591 (Tennessee)	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. Andrew James Kawasaki allows following entities to bill medicare on his behalf.

Entity Name	Christ Community Health Services Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982686614 PECOS PAC ID: 3870402084 Enrollment ID: O20040528000468

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. Andrew James Kawasaki 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
Andrew James Kawasaki, DDS 1166 Vaughn Rd, Memphis, TN 38122-1612 Ph: (701) 490-2137	Andrew James Kawasaki, DDS 2953 Broad Ave, Memphis, TN 38112-2957 Ph: (901) 842-3171

Reviews and Comments

Dentist in Memphis, TN

Dr. Yousef Odeh Jefferson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2953 Broad Ave, Memphis, TN 38112 Phone: 901-842-3171
Dr. Mark David Devincenzi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2805 Summer Oaks Dr, Memphis, TN 38134 Phone: 901-881-0483
Dr. David Richard Cagna, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Uthsc College Of Dentistry, 875 Union Avenue, Memphis, TN 38163 Phone: 901-448-6642 Fax: 901-448-1294
Dr. Thomas Henry Shipmon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5170 Sanderlin Ave, Suite 203, Memphis, TN 38117 Phone: 901-767-3603 Fax: 901-761-1969
Dr. Robert Wood Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990
Ms. Ragonva Shante Walls, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1273 E Raines Rd, Memphis, TN 38116 Phone: 901-398-6435
Dr. John Douglas Seeberg, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 875 Union Ave, Memphis, TN 38163 Phone: 901-448-6267 Fax: 901-448-2671

Andrew James Kawasaki, DDS - Medicare Dentist in Memphis, TN