Kellie-anne Chiemi Ishii-kim, OD - Medicare Optometrist in San Dimas, CA

  1. Home
  2. Optometrists
  3. CA
  4. San Dimas
Kellie-anne Chiemi Ishii-kim, OD is a medicare enrolled "Optometrist" provider in San Dimas, California. Her current practice location is 425 W Bonita Ave Ste 110b, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 394-0462.

Kellie-anne Chiemi Ishii-kim is licensed to practice in California (license number 35068) 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 1710465372.

Contact Information

Kellie-anne Chiemi Ishii-kim, OD
425 W Bonita Ave Ste 110b,
San Dimas, CA 91773-2543
(909) 394-0462
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKellie-anne Chiemi Ishii-kim
GenderFemale
SpecialityOptometrist
Location425 W Bonita Ave Ste 110b, San Dimas, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710465372
  • Provider Enumeration Date: 08/04/2018
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153674577
  • Enrollment ID: I20181031002020

Medical Identifiers

Medical identifiers for Kellie-anne Chiemi Ishii-kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710465372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 35068 (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. Kellie-anne Chiemi Ishii-kim allows following entities to bill medicare on her behalf.
Provider NameRobb T. Shibayama, O.d., Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629125752
PECOS PAC ID: 6002707643
Enrollment ID: O20040323000606
Provider NameWendi N Harada Od Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215266523
PECOS PAC ID: 3476694100
Enrollment ID: O20100104000296

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. Kellie-anne Chiemi Ishii-kim 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 AddressPractice Location Address
Kellie-anne Chiemi Ishii-kim, OD
3621 Woodpecker St,
Brea, CA 92823-1064

Ph: () -		Kellie-anne Chiemi Ishii-kim, OD
425 W Bonita Ave Ste 110b,
San Dimas, CA 91773-2543

Ph: (909) 394-0462

Reviews and Comments


Optometrist in San Dimas, CA

Melissa Zhao, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 425 W Bonita Ave, San Dimas, CA 91773
Phone: 909-394-0462    
Dr. Abigayle Ancheta Gutierrez, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773
Phone: 909-599-1100    
Tedder Optometry Group, Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 939 W Arrow Hwy, San Dimas, CA 91773
Phone: 805-624-1255    
Suzan Burmayan, O.d., A Professional Corporation
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773
Phone: 909-599-1100    
Dr. Elizabeth M Tsay, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773
Phone: 909-394-0462    
Justin Hua,
Optometrist
Medicare: Medicare Enrolled
Practice Location: 520 N Lone Hill Ave, San Dimas, CA 91773
Phone: 909-962-5518    
Dr. Grant Andrew Paul,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773
Phone: 909-592-5666    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.