Chisato Komatsu, BCBA-D, PHD in Culver City, CA - Medicare Psychologist Provider

Chisato Komatsu, BCBA-D, PHD is a medicare enrolled "Psychologist" provider in Culver City, California. Her current practice location is 6210 Bristol Pkwy Apt 206, Culver City, California. You can reach out to her office (for appointments etc.) via phone at (213) 407-9048.

Chisato Komatsu is licensed to practice in California (license number 28666) 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 1073885034.

Contact Information

	Chisato Komatsu, BCBA-D, PHD
	6210 Bristol Pkwy Apt 206, Culver City, CA 90230-6925
	(213) 407-9048
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chisato Komatsu
Gender	Female
Speciality	Psychologist
Location	6210 Bristol Pkwy Apt 206, Culver City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073885034
Provider Enumeration Date: 02/06/2012
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0547628893
Enrollment ID: I20230731001050

Medical Identifiers

Medical identifiers for Chisato Komatsu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073885034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	28666 (California)	Primary
103K00000X	Behavior Analyst	1-08-4103 (* (Not Available))	Secondary

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. Chisato Komatsu allows following entities to bill medicare on her behalf.

Entity Name	Chisato Komatsu Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205545910 PECOS PAC ID: 5395103642 Enrollment ID: O20230620001548

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. Chisato Komatsu 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
Chisato Komatsu, BCBA-D, PHD 6210 Bristol Pkwy Apt 206, Culver City, CA 90230-6925 Ph: (213) 407-9048	Chisato Komatsu, BCBA-D, PHD 6210 Bristol Pkwy Apt 206, Culver City, CA 90230-6925 Ph: (213) 407-9048

Reviews and Comments

Psychologist in Culver City, CA

Dr. Sara Michele Mehrabani, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9696 Culver Blvd Ste 303, Culver City, CA 90232 Phone: 323-909-9263
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Dr. Patricia A. Ziegler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10837 Franklin Ave, Culver City, CA 90230 Phone: 310-859-5880
Dr. Franklin Carvajal, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3567 Wesley St, Culver City, CA 90232 Phone: 540-818-4304 Fax: 323-488-9569
Ms. Deanna Michelle Olivas, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10533 Washington Blvd, Culver City, CA 90232 Phone: 310-694-5590
Dr. Linda Edna Weinberger, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10825 Bernardo Rd, Culver City, CA 90230 Phone: 310-837-1170

Chisato Komatsu, BCBA-D, PHD - Medicare Psychologist in Culver City, CA