Mitsutomi Ishiyama, MD in Seattle, WA

Mitsutomi Ishiyama, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Seattle, Washington. His current practice location is 1100 9th Ave, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 223-6851.

Mitsutomi Ishiyama is licensed to practice in Washington (license number MD60859644) 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 1063823326.

Contact Information

	Mitsutomi Ishiyama, MD
	1100 9th Ave, Seattle, WA 98101-2756
	(206) 223-6851
	(206) 223-6816

Map and Direction

Physician's Profile

Full Name	Mitsutomi Ishiyama
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1100 9th Ave, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063823326
Provider Enumeration Date: 05/08/2014
Last Update Date: 09/29/2023

Medicare PECOS Information:

PECOS PAC ID: 4385956309
Enrollment ID: I20230803001784

Medical Identifiers

Medical identifiers for Mitsutomi Ishiyama such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063823326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD60859644 (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. Mitsutomi Ishiyama allows following entities to bill medicare on his behalf.

Entity Name	Virginia Mason Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383

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. Mitsutomi Ishiyama 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
Mitsutomi Ishiyama, MD 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6851	Mitsutomi Ishiyama, MD 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6851

Reviews and Comments

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Mitsutomi Ishiyama, MD - Medicare Radiology in Seattle, WA