Dr Gregory M Yasuda, MD is a medicare enrolled "Surgery" physician in Evanston, Wyoming. His current practice location is
75 Yellow Creek Rd Ste 101, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 789-7777.
Dr Gregory M Yasuda is licensed to practice in Wyoming (license number 5379A) 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 1841391349.
Physician's Profile
| Full Name | Dr Gregory M Yasuda |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 75 Yellow Creek Rd Ste 101, Evanston, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841391349
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 01/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 0941467518
- Enrollment ID: I20120209000223
Medical Identifiers
Medical identifiers for Dr Gregory M Yasuda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841391349 | NPI | - | NPPES |
| 310965 | Other | WY | BLUE CROSS/BLUE SHIELD |
| 109094100 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 5379A (Wyoming) | 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. Dr Gregory M Yasuda allows following entities to bill medicare on his behalf.
| Entity Name | Evanston Clinic Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013916519
PECOS PAC ID: 8325038094
Enrollment ID: O20040514000481 |
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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. Dr Gregory M Yasuda 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 |
|---|
Dr Gregory M Yasuda, MD
711 Onyx St,
Kemmerer, WY 83101-3214
Ph: (307) 789-7777 | Dr Gregory M Yasuda, MD
75 Yellow Creek Rd Ste 101,
Evanston, WY 82930-5205
Ph: (307) 789-7777 |
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