Dr Glen Y Kishi, MD in Phoenix, AZ - Medicare Obstetrics & Gynecology

Dr Glen Y Kishi, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Phoenix, Arizona. His current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Dr Glen Y Kishi is licensed to practice in Arizona (license number 18565) 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 1174561765.

Contact Information

	Dr Glen Y Kishi, MD
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Glen Y Kishi
Gender	Male
Speciality	Obstetrics & Gynecology
Location	4212 N 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174561765
Provider Enumeration Date: 06/03/2006
Last Update Date: 10/13/2015

Medicare PECOS Information:

PECOS PAC ID: 6305741448
Enrollment ID: I20031203000211

Medical Identifiers

Medical identifiers for Dr Glen Y Kishi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174561765	NPI	-	NPPES
285818	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	18565 (Arizona)	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 Glen Y Kishi allows following entities to bill medicare on his behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961

Entity Name	Irene Benn Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841535317 PECOS PAC ID: 0840430724 Enrollment ID: O20130717000832

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 Glen Y Kishi 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
Dr Glen Y Kishi, MD Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1200	Dr Glen Y Kishi, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

Obstetrics & Gynecology Doctors in Phoenix, AZ

Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823

Dr Glen Y Kishi, MD - Medicare Obstetrics & Gynecology in Phoenix, AZ