Jerry Kiyoharu Wada, MD in Glendale, CA - Medicare Internal Medicine

Jerry Kiyoharu Wada, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Glendale, California. His current practice location is 1505 Wilson Ter Ste 200, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 409-0105.

Jerry Kiyoharu Wada is licensed to practice in California (license number G22808) 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 1487764379.

Contact Information

	Jerry Kiyoharu Wada, MD
	1505 Wilson Ter Ste 200, Glendale, CA 91206-4073
	(818) 409-0105
	(818) 409-0151

Map and Direction

Physician's Profile

Full Name	Jerry Kiyoharu Wada
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	1505 Wilson Ter Ste 200, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487764379
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/12/2021

Medicare PECOS Information:

PECOS PAC ID: 8325081219
Enrollment ID: I20111229000253

Medical Identifiers

Medical identifiers for Jerry Kiyoharu Wada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487764379	NPI	-	NPPES
00G228080	Medicaid	CA
G22808	Other	CA	CA MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	G22808 (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. Jerry Kiyoharu Wada allows following entities to bill medicare on his behalf.

Entity Name	Los Angeles Hematology-oncology Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457409674 PECOS PAC ID: 6608819594 Enrollment ID: O20050601001068

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. Jerry Kiyoharu Wada 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
Jerry Kiyoharu Wada, MD 541 W Colorado St Ste 205, Glendale, CA 91204-3640 Ph: (323) 254-0046	Jerry Kiyoharu Wada, MD 1505 Wilson Ter Ste 200, Glendale, CA 91206-4073 Ph: (818) 409-0105

Reviews and Comments

Internal Medicine Doctors in Glendale, CA

Narineh Mariam Yermian, DO Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 214 N Central Ave, Glendale, CA 91203 Phone: 818-246-8000 Fax: 951-486-5910
Tigran Khachatryan, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 660 W Broadway, Glendale, CA 91204 Phone: 818-243-9600
Dr. Jean-pierre E Antaki, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 801 S Chevy Chase Dr, #105, Glendale, CA 91205 Phone: 818-242-5299 Fax: 818-637-7607
Dr. Ellie Bloomfield, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1808 Verdugo Blvd, Suite 403, Glendale, CA 91208 Phone: 818-790-7098 Fax: 818-790-7099
Edgar H Aleman, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 435 Arden Ave, 410, Glendale, CA 91203 Phone: 818-242-4191 Fax: 818-242-4811
Michael Eugene Klein, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1818 Verdugo Blvd, #300, Glendale, CA 91208 Phone: 818-952-5332 Fax: 818-790-6830
Alen Mirzaian, M.D. Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 1818 Verdugo Blvd Ste 401, Glendale, CA 91208 Phone: 818-790-1145

Jerry Kiyoharu Wada, MD - Medicare Internal Medicine in Glendale, CA