Mark K Yamaguchi, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Woodbury, Minnesota. He went to Creighton University School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Group Health Plan Inc, Tria Orthopaedic Center Llc, Tria Orthopaedic Center Llc, Novacare Outpatient Rehabilitation East, Inc., Novacare Outpatient Rehabilitation East, Inc. and his current practice location is
155 Radio Dr, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 831-8742.
Mark K Yamaguchi is licensed to practice in Minnesota (license number 52910) 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 1033313580.
Physician's Profile
| Full Name | Mark K Yamaguchi |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 22 Years |
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| Location | 155 Radio Dr, Woodbury, Minnesota |
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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:
- Mark K Yamaguchi attended and graduated from Creighton University School Of Medicine in 2003
NPI Data:
- NPI Number: 1033313580
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305946773
- Enrollment ID: I20100824001312
Medical Identifiers
Medical identifiers for Mark K Yamaguchi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033313580 | NPI | - | NPPES |
| 1033313580 | Medicaid | WI | |
| 000000614543 | Other | IN | ANTHEM PROVIDER NUMBER |
| 1033313580 | Medicaid | MN | |
| 200863980 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207LP2900X | Anesthesiology - Pain Medicine | 52910 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Group Health Plan Inc | 1759293954 | 1487 |
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 410 |
| Novacare Outpatient Rehabilitation East, Inc. | 3678480290 | 410 |
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. Mark K Yamaguchi allows following entities to bill medicare on his behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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| Entity Name | Fairview Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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| Entity Name | Tria Orthopaedic Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
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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. Mark K Yamaguchi 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 |
Mark K Yamaguchi, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Mark K Yamaguchi, MD 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742 |
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