Ayako Ota, in San Bruno, CA - Medicare Physical Therapist Provider

Ayako Ota, is a medicare enrolled "Physical Therapist" provider in San Bruno, California. Her current practice location is 901 El Camino Real, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at (650) 742-2100.

Ayako Ota is licensed to practice in California (license number 302869) 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 1821712795.

Contact Information

	Ayako Ota,
	901 El Camino Real, San Bruno, CA 94066-3009
	(650) 742-2100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ayako Ota
Gender	Female
Speciality	Physical Therapist
Location	901 El Camino Real, San Bruno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821712795
Provider Enumeration Date: 10/03/2022
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 6709257553
Enrollment ID: I20230113002566

Medical Identifiers

Medical identifiers for Ayako Ota such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821712795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	302869 (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. Ayako Ota allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ayako Ota 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
Ayako Ota, 3028 Mason Ln, San Mateo, CA 94403-3243 Ph: (626) 423-8396	Ayako Ota, 901 El Camino Real, San Bruno, CA 94066-3009 Ph: (650) 742-2100

Reviews and Comments

Physical Therapist in San Bruno, CA

Dr. April Pasco Fajardo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Castleton Way, San Bruno, CA 94066 Phone: 650-274-5566
San Mateo County California Children's Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Commodore Dr, San Bruno, CA 94066 Phone: 650-312-8929
Rachel Amato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Fleetwood Dr, San Bruno, CA 94066 Phone: 650-296-4221
Tom Brandt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-2388
Mrs. Patricia Maria Casey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, Suite 304, San Bruno, CA 94066 Phone: 650-742-7279 Fax: 650-742-7295
Lesa C Perez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Traeger Ave Ste 304, San Bruno, CA 94066 Phone: 650-742-2000 Fax: 877-738-4262
Mr. Paul C Yu, P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-7110

Ayako Ota, - Medicare Physical Therapist in San Bruno, CA