Dr Kotaro Takeda, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Westchester Medical Center Advanced Physician Services Pc and his current practice location is
20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 688-4242.
Dr Kotaro Takeda is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811494313.
Physician's Profile
| Full Name | Dr Kotaro Takeda |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 29 Years |
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| Location | 20 York St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kotaro Takeda graduated from medical school in 1996
NPI Data:
- NPI Number: 1811494313
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698021541
- Enrollment ID: I20240523001129
Medical Identifiers
Medical identifiers for Dr Kotaro Takeda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811494313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0101X | Pathology - Anatomic Pathology | 328985 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Westchester Medical Center Advanced Physician Services Pc | 3173660776 | 745 |
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 Kotaro Takeda allows following entities to bill medicare on his behalf.
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912131392
PECOS PAC ID: 3173660776
Enrollment ID: O20091031000042 |
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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 Kotaro Takeda 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 Kotaro Takeda, MD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 | Dr Kotaro Takeda, MD
20 York St,
New Haven, CT 06510-3220
Ph: (203) 688-4242 |
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