Allison Kikue Enomoto, is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" in Sunnyvale, California. Her current practice location is
1283 Oakmead Pkwy Ste B, Sunnyvale, California. You can reach out to her office (for appointments etc.) via phone at
(408) 675-2010.
Allison Kikue Enomoto is licensed to practice in California (license number NP95013101) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366080517.
Provider's Profile
| Full Name | Allison Kikue Enomoto |
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| Gender | Female |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 1283 Oakmead Pkwy Ste B, Sunnyvale, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366080517
- Provider Enumeration Date: 12/18/2019
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668808148
- Enrollment ID: I20200218002701
Medical Identifiers
Medical identifiers for Allison Kikue Enomoto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366080517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95013101 (California) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | NP95013101 (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. Allison Kikue Enomoto allows following entities to bill medicare on her behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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| Entity Name | Minuteclinic Diagnostic Medical Group Of Orange County Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104013879
PECOS PAC ID: 5991868929
Enrollment ID: O20090116000214 |
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| Entity Name | Carbon Health Medical Group Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417294232
PECOS PAC ID: 9032340047
Enrollment ID: O20140314001276 |
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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. Allison Kikue Enomoto 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 |
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Allison Kikue Enomoto,
1283 Oakmead Pkwy Ste B,
Sunnyvale, CA 94085-4040
Ph: () - | Allison Kikue Enomoto,
1283 Oakmead Pkwy Ste B,
Sunnyvale, CA 94085-4040
Ph: (408) 675-2010 |
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