Masako Komiyama, LICSW, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Seattle, Washington. Her current practice location is
3639 Martin Luther King Jr Way S, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 695-7600.
Masako Komiyama is licensed to practice in Washington (license number AP60994940) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790113413.
Healthcare Provider's Profile
Full Name | Masako Komiyama |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3639 Martin Luther King Jr Way S, Seattle, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Masako Komiyama attended and graduated from in
NPI Data:
- NPI Number: 1790113413
- Provider Enumeration Date: 10/15/2013
- Last Update Date: 10/10/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Masako Komiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790113413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 743080021 (Washington) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP60994940 (Washington) | Primary |
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. Masako Komiyama 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 |
Masako Komiyama, LICSW, ARNP 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 Ph: (206) 695-7600 | Masako Komiyama, LICSW, ARNP 3639 Martin Luther King Jr Way S, Seattle, WA 98144 Ph: (206) 695-7600 |
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