Ivan Kai Makiyama, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Mccomb, Mississippi. His current practice location is
215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 249-5500.
Ivan Kai Makiyama is licensed to practice in * (Not Available) (license number ) 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 1013768753.
Physician's Profile
| Full Name | Ivan Kai Makiyama |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 215 Marion Ave, Mccomb, Mississippi |
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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: 1013768753
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 10/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 0446795652
- Enrollment ID: I20240711004396
Medical Identifiers
Medical identifiers for Ivan Kai Makiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013768753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 37648 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ivan Kai Makiyama 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 |
Ivan Kai Makiyama, DO 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 | Ivan Kai Makiyama, DO 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500 |
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