Dr Elissa Kawamoto, AUD in Eden Prairie, MN - Medicare Audiologist Provider

Dr Elissa Kawamoto, AUD is a medicare enrolled "Audiologist" provider in Eden Prairie, Minnesota. Her current practice location is 6700 Washington Ave S, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (800) 328-8602.

Dr Elissa Kawamoto is licensed to practice in * (Not Available) (license number ) 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 1295457844.

Contact Information

	Dr Elissa Kawamoto, AUD
	6700 Washington Ave S, Eden Prairie, MN 55344-3405
	(800) 328-8602
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Elissa Kawamoto
Gender	Female
Speciality	Audiologist
Location	6700 Washington Ave S, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295457844
Provider Enumeration Date: 09/12/2022
Last Update Date: 03/02/2026

Medicare PECOS Information:

PECOS PAC ID: 1850776071
Enrollment ID: I20221130001696

Medical Identifiers

Medical identifiers for Dr Elissa Kawamoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295457844	NPI	-	NPPES
DA14129	Other		AUDIOLOGY LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(* (Not Available))	Primary
2355A2700X	Specialist/technologist - Audiology Assistant	DA14129 (Arizona)	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. Dr Elissa Kawamoto allows following entities to bill medicare on her behalf.

Provider Name	Audiology Distribution Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1164707998 PECOS PAC ID: 0840459103 Enrollment ID: O20121116000401

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 Elissa Kawamoto 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
Dr Elissa Kawamoto, AUD 38 W Pecan Pl, Tempe, AZ 85284-2268 Ph: () -	Dr Elissa Kawamoto, AUD 6700 Washington Ave S, Eden Prairie, MN 55344-3405 Ph: (800) 328-8602

Reviews and Comments

Audiologist in Eden Prairie, MN

Ashley Hughes, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6600 Washington Ave S, Eden Prairie, MN 55344 Phone: 952-828-6940 Fax: 952-947-4969
Start Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6700 Washington Ave S, Eden Prairie, MN 55344 Phone: 866-925-1287 Fax: 952-947-4915
Morgan Rae Mcmahon, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 6700 Washington Ave S, Eden Prairie, MN 55344 Phone: 952-213-1611
Expert Hearing & Audiology, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347 Phone: 952-294-4327 Fax: 952-294-1027
Kate Mulligan, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6700 Washington Ave S, Eden Prairie, MN 55344 Phone: 952-213-1611
Giselle Mary Matsui, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 18315 Cascade Dr, Suite 100, Eden Prairie, MN 55347 Phone: 952-294-4327 Fax: 952-294-1027

Dr Elissa Kawamoto, AUD - Medicare Audiologist in Eden Prairie, MN