Charlene Midori Niizawa, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Union City, California. Her current practice location is
3553 Whipple Rd, Union City, California. You can reach out to her office (for appointments etc.) via phone at
(510) 454-1000.
Charlene Midori Niizawa is licensed to practice in California (license number G77048) 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 1558449314.
Physician's Profile
Full Name | Charlene Midori Niizawa |
---|
Gender | Female |
---|
Speciality | Preventive Medicine - Occupational Medicine |
---|
Location | 3553 Whipple Rd, Union City, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558449314
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254520521
- Enrollment ID: I20110118001232
Medical Identifiers
Medical identifiers for Charlene Midori Niizawa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558449314 | NPI | - | NPPES |
00G770480 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | G77048 (California) | 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. Charlene Midori Niizawa allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
---|
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. Charlene Midori Niizawa 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 |
Charlene Midori Niizawa, MD 3553 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 454-1000 | Charlene Midori Niizawa, MD 3553 Whipple Rd, Union City, CA 94587-1507 Ph: (510) 454-1000 |
Reviews and Comments