Dr Roy Kiyoharu Teramoto, MD in Phoenix, AZ

Dr Roy Kiyoharu Teramoto, MD is a medicare enrolled "Pediatrics" 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) 263-1511.

Dr Roy Kiyoharu Teramoto is licensed to practice in Oklahoma (license number 14222) 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 1780780437.

Contact Information

	Dr Roy Kiyoharu Teramoto, MD
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1511
	(602) 263-1637

Map and Direction

Physician's Profile

Full Name	Dr Roy Kiyoharu Teramoto
Gender	Male
Speciality	Pediatrics
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: 1780780437
Provider Enumeration Date: 09/16/2006
Last Update Date: 07/25/2011

Medicare PECOS Information:

PECOS PAC ID: 6305975426
Enrollment ID: I20140619001771

Medical Identifiers

Medical identifiers for Dr Roy Kiyoharu Teramoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780780437	NPI	-	NPPES
406993	Medicaid	AZ
AZ0713430	Other	AZ	BCBSAZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	14222 (Oklahoma)	Primary
2080P0210X	Pediatrics - Pediatric Nephrology	14222 (Oklahoma)	Secondary

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 Roy Kiyoharu Teramoto allows following entities to bill medicare on his behalf.

Entity Name	District Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583

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 Roy Kiyoharu Teramoto 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 Roy Kiyoharu Teramoto, MD Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1511	Dr Roy Kiyoharu Teramoto, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1511

Reviews and Comments

Pediatrics Doctors in Phoenix, AZ

Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000
Alexandra Palacios, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945
Dr. Salil V. Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5404 Fax: 602-344-5859

Dr Roy Kiyoharu Teramoto, MD - Medicare Pediatrics in Phoenix, AZ