Koji Kainuma, - Medicare Nurse Practitioner in Salem, OR

Koji Kainuma, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salem, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Yakima Valley Farm Workers Clinic and his current practice location is 255 Lancaster Dr Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 576-8400.

Koji Kainuma is licensed to practice in Oregon (license number 201905019NP-PP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669898268.

Contact Information

Koji Kainuma,
255 Lancaster Dr Ne,
Salem, OR 97301-5155
(503) 576-8400
(503) 364-0775

Map and Direction




Provider's Profile

Full NameKoji Kainuma
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location255 Lancaster Dr Ne, Salem, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Koji Kainuma graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1669898268
  • Provider Enumeration Date: 03/07/2014
  • Last Update Date: 03/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8921227794
  • Enrollment ID: I20200713001594

Medical Identifiers

Medical identifiers for Koji Kainuma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669898268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95001713 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201904695RN (Oregon)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 201905019NP-PP (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yakima Valley Farm Workers Clinic4385541986198

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. Koji Kainuma allows following entities to bill medicare on his behalf.
Entity NameYakima Valley Farm Workers Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427001940
PECOS PAC ID: 4385541986
Enrollment ID: O20040116001020

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. Koji Kainuma 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 AddressPractice Location Address
Koji Kainuma,
255 Lancaster Dr Ne,
Salem, OR 97301-5155

Ph: (503) 576-8400
Koji Kainuma,
255 Lancaster Dr Ne,
Salem, OR 97301-5155

Ph: (503) 576-8400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.