Danielle Michiyo Ikoma, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. Her current practice location is
550 1st Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 263-5506.
Danielle Michiyo Ikoma is licensed to practice in New York (license number 333454-01) 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 1790277671.
Physician's Profile
Full Name | Danielle Michiyo Ikoma |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 550 1st Ave, New York, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790277671
- Provider Enumeration Date: 06/05/2018
- Last Update Date: 05/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002162922
- Enrollment ID: I20221027001650
Medical Identifiers
Medical identifiers for Danielle Michiyo Ikoma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790277671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | R-11286 (Iowa) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 333454-01 (New York) | 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. Danielle Michiyo Ikoma allows following entities to bill medicare on her behalf.
Entity Name | Swedishamerican Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
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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. Danielle Michiyo Ikoma 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 |
Danielle Michiyo Ikoma, 550 First Avenue, Department Of Obstetrics And Gynecology, New York, NY 10016 Ph: (212) 263-5506 | Danielle Michiyo Ikoma, 550 1st Ave, New York, NY 10016-6402 Ph: (212) 263-5506 |
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