Lisa Yuko Shimotake, MD - Medicare General Surgery in Brooklyn, NY

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Lisa Yuko Shimotake, MD is a medicare enrolled "Surgery" physician in Brooklyn, New York. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Saint Anthony Health Affiliates, The Board Of Trustees Of The University Of Illinois and her current practice location is 450 Clarkson Ave # 1262, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 270-8867.

Lisa Yuko Shimotake is licensed to practice in Illinois (license number 036161155) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710245618.

Contact Information

Lisa Yuko Shimotake, MD
450 Clarkson Ave # 1262,
Brooklyn, NY 11203-2012
(718) 270-8867
Not Available

Map and Direction




Physician's Profile

Full NameLisa Yuko Shimotake
GenderFemale
SpecialityGeneral Surgery
Experience12 Years
Location450 Clarkson Ave # 1262, Brooklyn, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Yuko Shimotake graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1710245618
  • Provider Enumeration Date: 04/27/2012
  • Last Update Date: 09/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426321423
  • Enrollment ID: I20221012002390

Medical Identifiers

Medical identifiers for Lisa Yuko Shimotake such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710245618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036161155 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Illinois HospitalChicago, ILHospital
Saint Anthony HospitalChicago, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Anthony Health Affiliates125432147454
The Board Of Trustees Of The University Of Illinois3072422716923

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. Lisa Yuko Shimotake allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158
Entity NameSaint Anthony Health Affiliates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881086064
PECOS PAC ID: 1254321474
Enrollment ID: O20040518000419
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Lisa Yuko Shimotake 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 AddressPractice Location Address
Lisa Yuko Shimotake, MD
840 S Wood St,
Chicago, IL 60612-4325

Ph: (312) 355-1493		Lisa Yuko Shimotake, MD
450 Clarkson Ave # 1262,
Brooklyn, NY 11203-2012

Ph: (718) 270-8867

Reviews and Comments


Surgery Doctors in Brooklyn, NY

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Anukware Ketosugbo, MD
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Dr. Alan R. Go, M.D.
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Dr. Thomas Pritchard Mcintyre, MD
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Benjamin A Youdelman, M.D
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Practice Location: 4802 10th Ave, Brooklyn, NY 11219
Phone: 718-283-7686    Fax: 718-635-7421
Adam Golden,
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Practice Location: 150 55th St, Brooklyn, NY 11220
Phone: 718-630-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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