Kathryn Fukumoto Wood, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Pleasanton, California. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Permanente Medical Group Inc and her current practice location is
5820 Owens Dr. Building E, 2nd Floor, Pleasanton, California. You can reach out to her office (for appointments etc.) via phone at
(925) 737-3785.
Kathryn Fukumoto Wood is licensed to practice in California (license number 95001624) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144989807.
Provider's Profile
| Full Name | Kathryn Fukumoto Wood |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 5 Years |
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| Location | 5820 Owens Dr. Building E, 2nd Floor, Pleasanton, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathryn Fukumoto Wood graduated from nursing school in 2021
NPI Data:
- NPI Number: 1144989807
- Provider Enumeration Date: 12/09/2021
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517341878
- Enrollment ID: I20220906001006
Medical Identifiers
Medical identifiers for Kathryn Fukumoto Wood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1144989807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001624 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Kathryn Fukumoto Wood allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Kathryn Fukumoto Wood 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 |
Kathryn Fukumoto Wood, 5820 Owens Dr. Building E, 2nd Floor, Pleasanton, CA 94588-3900 Ph: () - | Kathryn Fukumoto Wood, 5820 Owens Dr. Building E, 2nd Floor, Pleasanton, CA 94588-3900 Ph: (925) 737-3785 |
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