Alisa Koyama, in Shoreline, WA - Medicare Social Worker Provider

Alisa Koyama, is a medicare enrolled "Social Worker - Clinical" provider in Shoreline, Washington. Her current practice location is 17701 11th Ave Ne, Shoreline, Washington. You can reach out to her office (for appointments etc.) via phone at (415) 310-1461.

Alisa Koyama is licensed to practice in Oklahoma (license number 20380) 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 1588340608.

Contact Information

	Alisa Koyama,
	17701 11th Ave Ne, Shoreline, WA 98155-3712
	(415) 310-1461
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alisa Koyama
Gender	Female
Speciality	Social Worker - Clinical
Location	17701 11th Ave Ne, Shoreline, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588340608
Provider Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6608223086
Enrollment ID: I20231107000230

Medical Identifiers

Medical identifiers for Alisa Koyama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588340608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61131874 (Washington)	Secondary
1041C0700X	Social Worker - Clinical	20380 (Oklahoma)	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. Alisa Koyama allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

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. Alisa Koyama 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
Alisa Koyama, 17701 11th Ave Ne, Shoreline, WA 98155-3712 Ph: () -	Alisa Koyama, 17701 11th Ave Ne, Shoreline, WA 98155-3712 Ph: (415) 310-1461

Reviews and Comments

Social Worker in Shoreline, WA

Jennifer Joy Keener, MSSW, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 N 200th St Ste 103, Shoreline, WA 98133 Phone: 206-459-6298
Jennifer Marie Hebron Wilde, LISCW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1424 Ne 155th St, Suite 207, Shoreline, WA 98155 Phone: 858-598-3713
Joseph Seo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17018 15th Ave Ne, Shoreline, WA 98155 Phone: 206-362-7282
Ms. Amy Louise Schaller, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1501 N 200th St Ste 103, Shoreline, WA 98133 Phone: 206-367-4604
Karen Sutton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-542-5656
Mrs. Winona D. Hauge, MSW, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17747 17th Ave Nw, Shoreline, WA 98177 Phone: 206-546-1767 Fax: 206-546-1767

Alisa Koyama, - Medicare Clinical Social Worker in Shoreline, WA