Alfred Mitsuru Yamamoto, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lakewood, California. He went to University Of California, Geffen School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Affiliated Pathologists Medical Group, Inc. and his current practice location is
3700 South St, Pathology Dept, Lakewood, California. You can reach out to his office (for appointments etc.) via phone at
(562) 602-6737.
Alfred Mitsuru Yamamoto is licensed to practice in California (license number G61896) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457387417.
Physician's Profile
Full Name | Alfred Mitsuru Yamamoto |
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Gender | Male |
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Speciality | Pathology |
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Experience | 38 Years |
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Location | 3700 South St, Lakewood, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alfred Mitsuru Yamamoto attended and graduated from University Of California, Geffen School Of Medicine in 1986
NPI Data:
- NPI Number: 1457387417
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 01/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 9133016116
- Enrollment ID: I20050908000757
Medical Identifiers
Medical identifiers for Alfred Mitsuru Yamamoto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457387417 | NPI | - | NPPES |
00G618960 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G61896 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Affiliated Pathologists Medical Group, Inc. | 7315840535 | 40 |
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. Alfred Mitsuru Yamamoto allows following entities to bill medicare on his behalf.
Entity Name | Affiliated Pathologists Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730119553 PECOS PAC ID: 7315840535 Enrollment ID: O20040127000838 |
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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. Alfred Mitsuru Yamamoto 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 |
Alfred Mitsuru Yamamoto, MD 2374 E Pacifica Pl, Rancho Dominguez, CA 90220-6214 Ph: (310) 225-3244 | Alfred Mitsuru Yamamoto, MD 3700 South St, Pathology Dept, Lakewood, CA 90712-1419 Ph: (562) 602-6737 |
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