Kimberly Reiko Miyamoto, RD is a medicare enrolled "Dietitian, Registered - Nutrition, Renal" provider in Lomita, California. She graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Internal Medicine And Nephrology Med. Group Inc. and her current practice location is
24533 Cadiz Dr, Lomita, California. You can reach out to her office (for appointments etc.) via phone at
(310) 749-7687.
Kimberly Reiko Miyamoto is licensed to practice in * (Not Available) (license number ) 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 1861048456.
Healthcare Provider's Profile
| Full Name | Kimberly Reiko Miyamoto |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 14 Years |
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| Location | 24533 Cadiz Dr, Lomita, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Reiko Miyamoto graduated from medical school in 2011
NPI Data:
- NPI Number: 1861048456
- Provider Enumeration Date: 08/10/2019
- Last Update Date: 08/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 5092133579
- Enrollment ID: I20200915002664
Medical Identifiers
Medical identifiers for Kimberly Reiko Miyamoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861048456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Internal Medicine And Nephrology Med. Group Inc. | 3173681400 | 8 |
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. Kimberly Reiko Miyamoto allows following entities to bill medicare on her behalf.
| Provider Name | Internal Medicine And Nephrology Med. Group Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497759104
PECOS PAC ID: 3173681400
Enrollment ID: O20081015000298 |
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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. Kimberly Reiko Miyamoto 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 |
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Kimberly Reiko Miyamoto, RD
24533 Cadiz Dr,
Lomita, CA 90717-1156
Ph: (310) 749-7687 | Kimberly Reiko Miyamoto, RD
24533 Cadiz Dr,
Lomita, CA 90717-1156
Ph: (310) 749-7687 |
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