Keiko Marianne Imazumi-tang, PT, MSPT, DPT in San Jose, CA - Medicare Physical Therapist Provider

Keiko Marianne Imazumi-tang, PT, MSPT, DPT is a medicare enrolled "Physical Therapist" provider in San Jose, California. Her current practice location is 270 International Cir, Building 2 North, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-3528.

Keiko Marianne Imazumi-tang is licensed to practice in California (license number 38245) 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 1871877837.

Contact Information

	Keiko Marianne Imazumi-tang, PT, MSPT, DPT
	270 International Cir, Building 2 North, San Jose, CA 95119-1130
	(408) 972-3528
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Keiko Marianne Imazumi-tang
Gender	Female
Speciality	Physical Therapist
Location	270 International Cir, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871877837
Provider Enumeration Date: 10/07/2011
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 9133376668
Enrollment ID: I20120905000717

Medical Identifiers

Medical identifiers for Keiko Marianne Imazumi-tang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871877837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	38245 (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. Keiko Marianne Imazumi-tang allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Keiko Marianne Imazumi-tang 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
Keiko Marianne Imazumi-tang, PT, MSPT, DPT 5266 War Wagon Ct, San Jose, CA 95136-3359 Ph: (408) 605-9300	Keiko Marianne Imazumi-tang, PT, MSPT, DPT 270 International Cir, Building 2 North, San Jose, CA 95119-1130 Ph: (408) 972-3528

Reviews and Comments

Physical Therapist in San Jose, CA

Mrs. Joanne Delosreyes Pho, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-7236
Dr. Robert Myles Noakes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 San Felipe Rd, Suite 100, San Jose, CA 95135 Phone: 408-238-1552 Fax: 408-238-1552
Ms. Mary Claire Tolentino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4019 Gold Run, San Jose, CA 95136 Phone: 408-416-7464
Thomas Alec Sa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6400
Mrs. Linda L Katzman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1624 E Capitol Expy, San Jose, CA 95121 Phone: 408-270-2280 Fax: 408-270-1902
Katherine Susan Casto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 International Cir, San Jose, CA 95119 Phone: 408-972-6400 Fax: 408-972-6415
Nguyen Khoi Tran Do, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 San Felipe Rd, Ste 100, San Jose, CA 95135 Phone: 408-238-1552 Fax: 408-238-1552

Keiko Marianne Imazumi-tang, PT, MSPT, DPT - Medicare Physical Therapist in San Jose, CA