Mrs Nicole Prevo Kageyama, MD in Renton, WA

Mrs Nicole Prevo Kageyama, MD is a medicare enrolled "Dermatology" physician in Renton, Washington. Her current practice location is 1412 Sw 43rd St Ste 205, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 264-0660.

Mrs Nicole Prevo Kageyama is licensed to practice in Washington (license number MD00046078) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407858665.

Contact Information

	Mrs Nicole Prevo Kageyama, MD
	1412 Sw 43rd St Ste 205, Renton, WA 98057-4803
	(425) 264-0660
	(425) 264-0601

Map and Direction

Physician's Profile

Full Name	Mrs Nicole Prevo Kageyama
Gender	Female
Speciality	Dermatology
Location	1412 Sw 43rd St Ste 205, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407858665
Provider Enumeration Date: 06/01/2005
Last Update Date: 09/07/2017

Medicare PECOS Information:

PECOS PAC ID: 8325091655
Enrollment ID: I20060308000099

Medical Identifiers

Medical identifiers for Mrs Nicole Prevo Kageyama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407858665	NPI	-	NPPES
P00301940	Other	WA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	MD00046078 (Washington)	Secondary
207N00000X	Dermatology	MD00046078 (Washington)	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. Mrs Nicole Prevo Kageyama allows following entities to bill medicare on her behalf.

Entity Name	North Pacific Dermatology Ps
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1881845907 PECOS PAC ID: 2264448059 Enrollment ID: O20081031000236

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. Mrs Nicole Prevo Kageyama 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
Mrs Nicole Prevo Kageyama, MD 1200 112th Ave Ne, Suite C-187, Bellevue, WA 98007 Ph: (425) 457-7900	Mrs Nicole Prevo Kageyama, MD 1412 Sw 43rd St Ste 205, Renton, WA 98057-4803 Ph: (425) 264-0660

Reviews and Comments

Dermatology Doctors in Renton, WA

Young Mike Choi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 910 N 10th Pl, Renton, WA 98057 Phone: 206-386-9540 Fax: 425-391-5751
Laura Walsh, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 600 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Kevin Man Hin Luk, Dermatology Medicare: Medicare Enrolled Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Cynthia Ackerman Knutson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 660 Sw 39th St Ste 150, Renton, WA 98057 Phone: 425-690-3483 Fax: 425-690-9083
Llewellyn Phillips Ii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4509 Talbot Rd S, Suite 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283
Dr. Craig K Fujisaki, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4509 Talbot Rd S Ste 200, Renton, WA 98055 Phone: 425-228-4520 Fax: 425-226-0283

Mrs Nicole Prevo Kageyama, MD - Medicare Dermatology in Renton, WA