Dr Momi Yamanaka, PHD in Carmel, IN - Medicare Psychologist Provider

Dr Momi Yamanaka, PHD is a medicare enrolled "Psychologist" provider in Carmel, Indiana. Her current practice location is 13295 Illinois St Ste 123, Carmel, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 983-1119.

Dr Momi Yamanaka is licensed to practice in Indiana (license number 20042030A) 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 1952494411.

Contact Information

	Dr Momi Yamanaka, PHD
	13295 Illinois St Ste 123, Carmel, IN 46032-3020
	(317) 983-1119
	(888) 443-4046

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Momi Yamanaka
Gender	Female
Speciality	Psychologist
Location	13295 Illinois St Ste 123, Carmel, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952494411
Provider Enumeration Date: 10/02/2006
Last Update Date: 01/11/2026

Medicare PECOS Information:

PECOS PAC ID: 9032277843
Enrollment ID: I20100201000599

Medical Identifiers

Medical identifiers for Dr Momi Yamanaka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952494411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0000X	Psychologist - Family	20042030A (Indiana)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	20042030A (Indiana)	Secondary
103K00000X	Behavior Analyst	1-17-28912 (Indiana)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	20042030A (Indiana)	Secondary
103T00000X	Psychologist	20042030A (Indiana)	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. Dr Momi Yamanaka allows following entities to bill medicare on her behalf.

Entity Name	The Hope Source Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265736615 PECOS PAC ID: 7810422409 Enrollment ID: O20241119003036

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. Dr Momi Yamanaka 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
Dr Momi Yamanaka, PHD 13295 Illinois St Ste 123, Carmel, IN 46032-3020 Ph: (317) 517-8817	Dr Momi Yamanaka, PHD 13295 Illinois St Ste 123, Carmel, IN 46032-3020 Ph: (317) 983-1119

Reviews and Comments

Psychologist in Carmel, IN

Dr. Christine L. Gillies, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 12337 Hancock St Ste 20, Carmel, IN 46032 Phone: 317-706-6744 Fax: 317-706-6700
Sara Petrites, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12025 Clay Center Rd, Carmel, IN 46032 Phone: 317-733-6450
Amy Louise Rexroth, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 230 1st St Ne, Carmel, IN 46032 Phone: 317-810-1005
Dr. Kassandra Elizabeth Lowery, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10291 N Meridian St Ste 310, Carmel, IN 46290 Phone: 176-721-9703 Fax: 317-672-1971
Dr. Todd Steven Casbon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 E Carmel Dr Ste D400, Carmel, IN 46032 Phone: 317-290-6738
Kelli Grogg, EDS, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13989 Hazel Dell Pkwy, Carmel, IN 46033 Phone: 317-846-3086
Dr. Anlize Korsts Salzman, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13295 Illinois St Ste 324, Carmel, IN 46032 Phone: 317-599-4501

Dr Momi Yamanaka, PHD - Medicare Psychologist in Carmel, IN