Alyssa T Watanabe, MD - Medicare Diagnostic Radiology in Los Angeles, CA

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Alyssa T Watanabe, MD is a medicare enrolled "Radiology - Neuroradiology" physician in Los Angeles, California. She went to University Of California, San Francisco School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Prohealth Partners, A Medical Group, Bedford Breast Center, Inc and her current practice location is 1500 San Pablo St Fl 2, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-8541.

Alyssa T Watanabe is licensed to practice in California (license number G63862) 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 1780660472.

Contact Information

Alyssa T Watanabe, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313
(323) 442-8541
Not Available

Map and Direction




Physician's Profile

Full NameAlyssa T Watanabe
GenderFemale
SpecialityDiagnostic Radiology
Experience38 Years
Location1500 San Pablo St Fl 2, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alyssa T Watanabe attended and graduated from University Of California, San Francisco School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1780660472
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911801840
  • Enrollment ID: I20051109001169

Medical Identifiers

Medical identifiers for Alyssa T Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780660472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G63862 (California)Secondary
2085N0700XRadiology - Neuroradiology G63862 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Partners, A Medical Group2769388412237
Bedford Breast Center, Inc53951602954

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. Alyssa T Watanabe allows following entities to bill medicare on her behalf.
Entity NameProhealth Partners, A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003949975
PECOS PAC ID: 2769388412
Enrollment ID: O20031211000927
Entity NameNewport Diagnostic Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134345473
PECOS PAC ID: 3870494388
Enrollment ID: O20040116001125
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412
Entity NamePronet Imaging Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099488
PECOS PAC ID: 5890722755
Enrollment ID: O20050721000831
Entity NameBeverly Radiology Medical Group Iii
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962457812
PECOS PAC ID: 3476466376
Enrollment ID: O20060221000914
Entity NameSan Fernando Valley Interventional Radiology And Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942350889
PECOS PAC ID: 3476651431
Enrollment ID: O20070614000478
Entity NameEmeryville Advanced Imaging Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376597930
PECOS PAC ID: 3375637051
Enrollment ID: O20070926000354
Entity NameBedford Breast Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760878367
PECOS PAC ID: 5395160295
Enrollment ID: O20200810002260

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. Alyssa T Watanabe 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 AddressPractice Location Address
Alyssa T Watanabe, MD
Po Box 31399,
Los Angeles, CA 90031-0399

Ph: (323) 442-8541		Alyssa T Watanabe, MD
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313

Ph: (323) 442-8541

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.