Glen Isamu Komatsu, MD in Rancho Palos Verdes, CA

Glen Isamu Komatsu, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Rancho Palos Verdes, California. He went to University Of Arizona College Of Medicine and graduated in 1978 and has 48 years of diverse experience with area of expertise as Pediatric Medicine. His current practice location is 6069 Woodfern Dr, Rancho Palos Verdes, California. You can reach out to his office (for appointments etc.) via phone at (310) 375-4585.

Glen Isamu Komatsu is licensed to practice in California (license number A35086) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1114939394.

Contact Information

	Glen Isamu Komatsu, MD
	6069 Woodfern Dr, Rancho Palos Verdes, CA 90275-2263
	(310) 375-4585
	(310) 375-1735

Map and Direction

Physician's Profile

Full Name	Glen Isamu Komatsu
Gender	Male
Speciality	Pediatric Medicine
Experience	48 Years
Location	6069 Woodfern Dr, Rancho Palos Verdes, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glen Isamu Komatsu attended and graduated from University Of Arizona College Of Medicine in 1978

NPI Data:

NPI Number: 1114939394
Provider Enumeration Date: 08/13/2006
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820060361
Enrollment ID: I20060119000349

Medical Identifiers

Medical identifiers for Glen Isamu Komatsu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114939394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0000X	Pain Medicine - Pain Medicine	A35086 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Trinitycare Hospice	Torrance, CA	Hospice

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. Glen Isamu Komatsu allows following entities to bill medicare on his behalf.

Entity Name	Providence Trinitycare Hospice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366034423 PECOS PAC ID: 1153357983 Enrollment ID: O20050713000622

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. Glen Isamu Komatsu 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
Glen Isamu Komatsu, MD 6069 Woodfern Dr, Rancho Palos Verdes, CA 90275-2263 Ph: (310) 375-4585	Glen Isamu Komatsu, MD 6069 Woodfern Dr, Rancho Palos Verdes, CA 90275-2263 Ph: (310) 375-4585

Glen Isamu Komatsu, MD - Medicare Pediatric Medicine in Rancho Palos Verdes, CA