Dr Keith Yamanishi, OD is a medicare enrolled "Optometrist" provider in Mather, California. His current practice location is
10535 Hospital Way Bldg 720, Mather, California. You can reach out to his office (for appointments etc.) via phone at
(916) 366-5463.
Dr Keith Yamanishi is licensed to practice in California (license number OPT9381) 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 1043259849.
Healthcare Provider's Profile
| Full Name | Dr Keith Yamanishi |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 10535 Hospital Way Bldg 720, Mather, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043259849
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 3274542196
- Enrollment ID: I20060420000193
Medical Identifiers
Medical identifiers for Dr Keith Yamanishi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043259849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPT9381 (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. Dr Keith Yamanishi allows following entities to bill medicare on his behalf.
| Provider Name | Lewis S Bliss |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1417908062
PECOS PAC ID: 4981613924
Enrollment ID: I20060420000211 |
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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. Dr Keith Yamanishi 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 |
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Dr Keith Yamanishi, OD
2169 Nugget Creek Ct,
Gold River, CA 95670-8127
Ph: (916) 501-1032 | Dr Keith Yamanishi, OD
10535 Hospital Way Bldg 720,
Mather, CA 95655-4200
Ph: (916) 366-5463 |
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