Dr Lissa C Daimaru-enoki, MD - Medicare Obstetrics & Gynecology in Vancouver, WA

Dr Lissa C Daimaru-enoki, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Vancouver, Washington. Her current practice location is 14406 Ne 20th Ave, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 571-4244.

Dr Lissa C Daimaru-enoki is licensed to practice in Washington (license number MD 60170420) 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 1083699078.

Contact Information

Dr Lissa C Daimaru-enoki, MD
14406 Ne 20th Ave,
Vancouver, WA 98686-1448
(360) 571-4244
(360) 571-4246



Physician's Profile

Full NameDr Lissa C Daimaru-enoki
GenderFemale
SpecialityObstetrics & Gynecology
Location14406 Ne 20th Ave, Vancouver, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083699078
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678548427
  • Enrollment ID: I20110106000852

Medical Identifiers

Medical identifiers for Dr Lissa C Daimaru-enoki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083699078NPI-NPPES
867103MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 32929 (Arizona)Secondary
207V00000XObstetrics & Gynecology MD 60170420 (Washington)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 Lissa C Daimaru-enoki allows following entities to bill medicare on her behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

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Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Dr Lissa C Daimaru-enoki 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
Dr Lissa C Daimaru-enoki, MD
14406 Ne 20th Ave,
Vancouver, WA 98686-1448

Ph: (360) 571-4244
Dr Lissa C Daimaru-enoki, MD
14406 Ne 20th Ave,
Vancouver, WA 98686-1448

Ph: (360) 571-4244

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Obstetrics & Gynecology Doctors in Vancouver, WA

Michelle Hocking De Geest, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686
Phone: 360-571-4244    Fax: 360-571-4246
Richard T Kubiniec, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686
Phone: 360-892-0208    Fax: 360-892-9081
Anna Kerlin Bell-hibbs, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Ne 139th St Ste 270, Vancouver, WA 98686
Phone: 360-882-2778    Fax: 360-604-1672
Dr. Jennifer Catherine O'connor, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2101 Ne 139th St, Ste 350, Vancouver, WA 98686
Phone: 360-256-4060    Fax: 360-256-0103
Jonathan Erich, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Legacy Salmon Creek Hospital - Family Birth Center, 2211 N.e. 139th Street, Vancouver, WA 98686
Phone: 360-487-4295    
Michelle Eston Gruner, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686
Phone: 855-285-4246    Fax: 360-571-4246

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