Kent K Miyamoto, MD in Fontana, CA

Kent K Miyamoto, MD is a medicare enrolled "Urology" physician in Fontana, California. His current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-3910.

Kent K Miyamoto is licensed to practice in California (license number G79339) 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 1952472912.

Contact Information

	Kent K Miyamoto, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Physician's Profile

Full Name	Kent K Miyamoto
Gender	Male
Speciality	Urology
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952472912
Provider Enumeration Date: 11/13/2006
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 0941360069
Enrollment ID: I20081119000681

Medical Identifiers

Medical identifiers for Kent K Miyamoto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952472912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	G79339 (California)	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. Kent K Miyamoto allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kent K Miyamoto 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
Kent K Miyamoto, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Kent K Miyamoto, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Urology Doctors in Fontana, CA

Charles Mark Page, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dr. Casey Ki Ng, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9985 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4081
Luther J. Bryant, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Yu Wang, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Arsenio J. Figueroa, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Manouchehr Lalehzarian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Michael D. Strub, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Kent K Miyamoto, MD - Medicare Urology in Fontana, CA