Kenny Tokuji Michioka, in Monterey, CA - Medicare Nurse Practitioner

Kenny Tokuji Michioka, is a medicare enrolled "Nurse Practitioner - Family" in Monterey, California. His current practice location is 501 Lighthouse Ave, Monterey, California. You can reach out to his office (for appointments etc.) via phone at (831) 649-0770.

Kenny Tokuji Michioka is licensed to practice in California (license number 95007921) 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 1215559638.

Contact Information

	Kenny Tokuji Michioka,
	501 Lighthouse Ave, Monterey, CA 93940-1439
	(831) 649-0770
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenny Tokuji Michioka
Gender	Male
Speciality	Nurse Practitioner - Family
Location	501 Lighthouse Ave, Monterey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215559638
Provider Enumeration Date: 05/07/2020
Last Update Date: 06/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9638599798
Enrollment ID: I20201012002601

Medical Identifiers

Medical identifiers for Kenny Tokuji Michioka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215559638	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007921 (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. Kenny Tokuji Michioka allows following entities to bill medicare on his behalf.

Entity Name	Southern Monterey County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803

Entity Name	Bay Area Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184791998 PECOS PAC ID: 1658349824 Enrollment ID: O20050330001237

Entity Name	Wound Masters Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376063461 PECOS PAC ID: 8224307053 Enrollment ID: O20170710002429

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. Kenny Tokuji Michioka 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
Kenny Tokuji Michioka, 100 Wilson Rd Ste 100, Monterey, CA 93940-7885 Ph: (831) 242-8301	Kenny Tokuji Michioka, 501 Lighthouse Ave, Monterey, CA 93940-1439 Ph: (831) 649-0770

Reviews and Comments

Nurse Practitioner Nurses in Monterey, CA

Mrs. Jennifer M Panning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Upper Ragsdale Dr Bldg A, Monterey, CA 93940 Phone: 831-333-3040
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Matthew Alexander Watson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 473 Cabrillo St Bldg 422, Monterey, CA 93944 Phone: 831-242-4117 Fax: 630-570-6085
T Jackson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 245 Washington St, Monterey, CA 93940 Phone: 831-372-2273
Stacy Marie Rohrbough, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 833 Cass St, Monterey, CA 93940 Phone: 831-233-3143
Dr. Kenneth Claude Dunham Jr., PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 473 Cabrillo St Bldg 422, Monterey, CA 93944 Phone: 510-551-8225
Mrs. Shari Lynn Kent, N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Wilson Rd, Suite 110, Monterey, CA 93940 Phone: 831-642-6266

Kenny Tokuji Michioka, - Medicare Nurse Practitioner in Monterey, CA