Michael Momohara, MD in Lynnwood, WA - Medicare Physical Medicine & Rehabilitation

Michael Momohara, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Lynnwood, Washington. His current practice location is 12911 Beverly Park Rd, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 880-3224.

Michael Momohara is licensed to practice in Washington (license number MD61657954) 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 1467915710.

Contact Information

	Michael Momohara, MD
	12911 Beverly Park Rd, Lynnwood, WA 98087-5127
	(206) 880-3224
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Momohara
Gender	Male
Speciality	Physical Medicine & Rehabilitation
Location	12911 Beverly Park Rd, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467915710
Provider Enumeration Date: 04/12/2019
Last Update Date: 04/30/2025

Medicare PECOS Information:

PECOS PAC ID: 8224490305
Enrollment ID: I20230822001778

Medical Identifiers

Medical identifiers for Michael Momohara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467915710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	MD61657954 (Washington)	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. Michael Momohara allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Michael Momohara 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
Michael Momohara, MD Po Box 83, Mukilteo, WA 98275-0083 Ph: (206) 880-3224	Michael Momohara, MD 12911 Beverly Park Rd, Lynnwood, WA 98087-5127 Ph: (206) 880-3224

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Lynnwood, WA

Justin Lee Fischer, PT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 20200 54th Ave W, Lynnwood, WA 98036 Phone: 425-672-6400 Fax: 425-672-6518
Katherine Scott, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 19217 36th Ave W, Suite 102, Lynnwood, WA 98036 Phone: 425-670-9991 Fax: 425-670-9995
Dr. Kelvin Daniel Franke, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4300 198th St Sw, Lynnwood, WA 98036 Phone: 425-361-1122 Fax: 206-834-6021

Michael Momohara, MD - Medicare Physical Medicine & Rehabilitation in Lynnwood, WA