Koichi Shun Kunitake, in Twentynine Palms, CA - Medicare Emergency Medicine

Koichi Shun Kunitake, is a medicare enrolled "Emergency Medicine" physician in Twentynine Palms, California. His current practice location is 1145 Sturgis Rd, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at (760) 830-2722.

Koichi Shun Kunitake is licensed to practice in California (license number 118976) 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 1689837510.

Contact Information

	Koichi Shun Kunitake,
	1145 Sturgis Rd, Twentynine Palms, CA 92278
	(760) 830-2722
	Not Available

Physician's Profile

Full Name	Koichi Shun Kunitake
Gender	Male
Speciality	Emergency Medicine
Location	1145 Sturgis Rd, Twentynine Palms, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689837510
Provider Enumeration Date: 07/10/2008
Last Update Date: 03/21/2016

Medicare PECOS Information:

PECOS PAC ID: 8224215124
Enrollment ID: I20150427002163

Medical Identifiers

Medical identifiers for Koichi Shun Kunitake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689837510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	118976 (California)	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. Koichi Shun Kunitake 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
Koichi Shun Kunitake, 3773 Haines St Apt 18, San Diego, CA 92109-6625 Ph: (858) 245-2353	Koichi Shun Kunitake, 1145 Sturgis Rd, Twentynine Palms, CA 92278 Ph: (760) 830-2722

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Emergency Medicine Doctors in Twentynine Palms, CA

Ryan Snow, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117
Mark Baldeshwiler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Sturgis Road, Twentynine Palms, CA 92278 Phone: 760-830-2117
Dr. Charles Richard Nixon Ii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Attn Professional Affairs, Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2194
Michael Lanker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Sturgis Rd, Twentynine Palms, CA 92278 Phone: 760-830-2772

Koichi Shun Kunitake, - Medicare Emergency Medicine in Twentynine Palms, CA