Dr Cynthia Chizuko Kodama, DO is a medicare enrolled "Neuromusculoskeletal Medicine & Omm" physician in South Pasadena, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as General Practice. Her current practice location is
1499 Huntington Dr Ste 418, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at
(626) 460-8398.
Dr Cynthia Chizuko Kodama is licensed to practice in California (license number 20A10411) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013166503.
Physician's Profile
| Full Name | Dr Cynthia Chizuko Kodama |
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| Gender | Female |
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| Speciality | General Practice |
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| Experience | 18 Years |
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| Location | 1499 Huntington Dr Ste 418, South Pasadena, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Cynthia Chizuko Kodama graduated from medical school in 2006
NPI Data:
- NPI Number: 1013166503
- Provider Enumeration Date: 09/09/2008
- Last Update Date: 04/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981741238
- Enrollment ID: I20091022000566
Medical Identifiers
Medical identifiers for Dr Cynthia Chizuko Kodama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013166503 | NPI | - | NPPES |
| B4719516 | Other | CA | DRIVER'S LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 20A10411 (California) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 20A10411 (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. Dr Cynthia Chizuko Kodama allows following entities to bill medicare on her behalf.
| Entity Name | Cynthia Kodama, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003231101
PECOS PAC ID: 0547492118
Enrollment ID: O20140414000655 |
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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. Dr Cynthia Chizuko Kodama 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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Dr Cynthia Chizuko Kodama, DO
1363 Pebble Hurst St,
Monterey Park, CA 91754-4422
Ph: (323) 791-9867 | Dr Cynthia Chizuko Kodama, DO
1499 Huntington Dr Ste 418,
South Pasadena, CA 91030-5459
Ph: (626) 460-8398 |
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