Mariko Ishiyama, DO in Modesto, CA - Medicare Family Practice

Mariko Ishiyama, DO is a medicare enrolled "Hospitalist" physician in Modesto, California. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice John Muir Physician Network and her current practice location is 1441 Florida Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 576-3525.

Mariko Ishiyama is licensed to practice in California (license number 12904) 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 1952662991.

Contact Information

	Mariko Ishiyama, DO
	1441 Florida Ave, Modesto, CA 95350-4404
	(209) 576-3525
	Not Available

Map and Direction

Physician's Profile

Full Name	Mariko Ishiyama
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	1441 Florida Ave, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mariko Ishiyama graduated from medical school in 2012

NPI Data:

NPI Number: 1952662991
Provider Enumeration Date: 06/06/2012
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 4486872835
Enrollment ID: I20150928000736

Medical Identifiers

Medical identifiers for Mariko Ishiyama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952662991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A13309 (California)	Secondary
208M00000X	Hospitalist	12904 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John Muir Medical Center - Concord Campus	Concord, CA	Hospital
John Muir Medical Center - Walnut Creek Campus	Walnut creek, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
John Muir Physician Network	6608789813	442

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. Mariko Ishiyama allows following entities to bill medicare on her behalf.

Entity Name	Hospitalists Of Modesto Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821190711 PECOS PAC ID: 2567360027 Enrollment ID: O20031222000781

Entity Name	John Muir Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143

Entity Name	Inpatient Services Of California A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609019215 PECOS PAC ID: 3274421532 Enrollment ID: O20040413000789

Entity Name	John Muir Trauma Physicians Billing Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452

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. Mariko Ishiyama 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
Mariko Ishiyama, DO 3606 Brook St, Lafayette, CA 94549-4202 Ph: (510) 703-9040	Mariko Ishiyama, DO 1441 Florida Ave, Modesto, CA 95350-4404 Ph: (209) 576-3525

Reviews and Comments

Hospitalist Doctors in Modesto, CA

Radha Chirumamilla, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Audrey Oen Tio, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Alexander L Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Dr. Kyaw Yu San, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408 Fax: 209-491-7587
Yamin Aung, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408
Seth Ackuayi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Nahrin G. Khoshaba, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000

Mariko Ishiyama, DO - Medicare Family Practice in Modesto, CA