Dr Michitaka Kawata, MD is a medicare enrolled "Colon & Rectal Surgery" physician in La Crosse, Wisconsin. He went to Temple University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Gundersen Lutheran Medical Center Inc and his current practice location is
1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 782-7300.
Dr Michitaka Kawata is licensed to practice in Wisconsin (license number 65773) 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 1417186859.
Physician's Profile
Full Name | Dr Michitaka Kawata |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 21 Years |
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Location | 1836 South Ave, La Crosse, Wisconsin |
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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:
- Dr Michitaka Kawata attended and graduated from Temple University School Of Medicine in 2003
NPI Data:
- NPI Number: 1417186859
- Provider Enumeration Date: 07/07/2009
- Last Update Date: 06/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810178134
- Enrollment ID: I20160727001346
Medical Identifiers
Medical identifiers for Dr Michitaka Kawata such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417186859 | NPI | - | NPPES |
MA08835400 | Other | NJ | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MA08835400 (New Jersey) | Secondary |
208C00000X | Colon & Rectal Surgery | 65773 (Wisconsin) | Primary |
208600000X | Surgery | 65773 (Wisconsin) | Secondary |
208C00000X | Colon & Rectal Surgery | 25MA08835400 (New Jersey) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
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 Michitaka Kawata allows following entities to bill medicare on his behalf.
Entity Name | Moundview Memorial Hospital & Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
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Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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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 Michitaka Kawata 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 Michitaka Kawata, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Michitaka Kawata, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
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