Dr Kotaro Takeda, MD in New Haven, CT - Medicare Student in an Organized Health Care Education/Training Program

Dr Kotaro Takeda, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is 20 York St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 688-4242.

Dr Kotaro Takeda is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811494313.

Contact Information

	Dr Kotaro Takeda, MD
	20 York St, New Haven, CT 06510-3220
	(203) 688-4242
	Not Available

Physician's Profile

Full Name	Dr Kotaro Takeda
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	20 York St, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811494313
Provider Enumeration Date: 04/11/2018
Last Update Date: 04/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5698021541
Enrollment ID: I20180706000976

Medical Identifiers

Medical identifiers for Dr Kotaro Takeda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811494313	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0101X	Pathology - Anatomic Pathology	328985 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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 Kotaro Takeda 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 Kotaro Takeda, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242	Dr Kotaro Takeda, MD 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242

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Dr Kotaro Takeda, MD - Medicare Student in an Organized Health Care Education/Training Program in New Haven, CT