Carol Yukiko Nishikubo, MD in Santa Monica, CA - Medicare Hematology/oncology

Carol Yukiko Nishikubo, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Santa Monica, California. She graduated from medical school in 1990 and has 35 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 2001 Santa Monica Blvd Ste 560w, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 453-5654.

Carol Yukiko Nishikubo is licensed to practice in California (license number G78746) 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 1023083888.

Contact Information

	Carol Yukiko Nishikubo, MD
	2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182
	(310) 453-5654
	(310) 453-6885

Map and Direction

Physician's Profile

Full Name	Carol Yukiko Nishikubo
Gender	Female
Speciality	Hematology/oncology
Experience	35 Years
Location	2001 Santa Monica Blvd Ste 560w, Santa Monica, California
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:

Carol Yukiko Nishikubo graduated from medical school in 1990

NPI Data:

NPI Number: 1023083888
Provider Enumeration Date: 02/22/2006
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4082638325
Enrollment ID: I20100723000705

Medical Identifiers

Medical identifiers for Carol Yukiko Nishikubo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023083888	NPI	-	NPPES
G787460	Medicaid	CA
G78746	Other	CA	CALIFORNIA LICENSE
GR0085740	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	G78746 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Saint John's Health Center	Santa monica, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Saint Johns Medical Foundation	0840548624	256

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. Carol Yukiko Nishikubo allows following entities to bill medicare on her behalf.

Entity Name	Providence Saint Johns Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770093734 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904

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. Carol Yukiko Nishikubo 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
Carol Yukiko Nishikubo, MD 2021 Santa Monica Blvd, Suite 400e, Santa Monica, CA 90404-2208 Ph: (310) 453-5654	Carol Yukiko Nishikubo, MD 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404-2182 Ph: (310) 453-5654

Reviews and Comments

Internal Medicine Doctors in Santa Monica, CA

Irawan Susanto, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1223 16th St, Suite 3400, Santa Monica, CA 90404 Phone: 310-449-0939 Fax: 424-259-7790
Louis Ravitz, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2336 Santa Monica Blvd, Suite 207, Santa Monica, CA 90404 Phone: 310-828-9311 Fax: 310-453-8533
Janet Winikoff, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 860, Santa Monica, CA 90404 Phone: 310-828-3209 Fax: 310-828-5165
Dr. Sean Dooley, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 323-829-8745
Lorraine Anderson, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1245 16th St Ste 303, Santa Monica, CA 90404 Phone: 310-481-4646 Fax: 310-899-7599
Vivek Dilipkumar Shah, Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2001 Santa Monica Blvd Ste 560w, Santa Monica, CA 90404 Phone: 310-453-5654 Fax: 310-453-6885
Dr. Colleen Lucy Channick, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1223 16th St Ste 3400, Santa Monica, CA 90404 Phone: 310-449-0939

Carol Yukiko Nishikubo, MD - Medicare Hematology/oncology in Santa Monica, CA