Kevin C Miyasato, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Beaverton, Oregon. His current practice location is
12725 Sw Millikan Way, Suite 300, Beaverton, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 906-7870.
Kevin C Miyasato is licensed to practice in Oregon (license number 5855) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184902504.
Healthcare Provider's Profile
| Full Name | Kevin C Miyasato |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 12725 Sw Millikan Way, Beaverton, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1184902504
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 06/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 2860616661
- Enrollment ID: I20140618000803
Medical Identifiers
Medical identifiers for Kevin C Miyasato such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184902504 | NPI | - | NPPES |
| 500670052 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00686 (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5214-S (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5855 (Oregon) | 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. Kevin C Miyasato allows following entities to bill medicare on his behalf.
| Entity Name | A Healing Intention Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1104236819
PECOS PAC ID: 9335363126
Enrollment ID: O20140618000613 |
|---|
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. Kevin C Miyasato 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 |
|---|
Kevin C Miyasato, LCSW
12725 Sw Millikan Way, Suite 300,
Beaverton, OR 97005-1678
Ph: (503) 906-7870 | Kevin C Miyasato, LCSW
12725 Sw Millikan Way, Suite 300,
Beaverton, OR 97005-1678
Ph: (503) 906-7870 |
Reviews and Comments