Roman Y Takasaki, MD - Medicare Family Practice in Spanish Fork, UT

Roman Y Takasaki, MD is a medicare enrolled "Family Medicine" physician in Spanish Fork, Utah. He went to University Of Utah School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Canyon View Medical Group Llc and his current practice location is 336 W 100 S, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 798-7301.

Roman Y Takasaki is licensed to practice in Utah (license number 182230-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669428611.

Contact Information

Roman Y Takasaki, MD
336 W 100 S,
Spanish Fork, UT 84660-5881
(801) 798-7301
(801) 798-8513



Physician's Profile

Full NameRoman Y Takasaki
GenderMale
SpecialityFamily Practice
Experience37 Years
Location336 W 100 S, Spanish Fork, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roman Y Takasaki attended and graduated from University Of Utah School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1669428611
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 07/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183529738
  • Enrollment ID: I20080425000090

Medical Identifiers

Medical identifiers for Roman Y Takasaki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669428611NPI-NPPES
10007MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 182230-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain View HospitalPayson, UTHospital
Utah Valley HospitalProvo, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Canyon View Medical Group Llc973908435136

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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. Roman Y Takasaki allows following entities to bill medicare on his behalf.
Entity NameCanyon View Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477709772
PECOS PAC ID: 9739084351
Enrollment ID: O20031205000226

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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. Roman Y Takasaki 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
Roman Y Takasaki, MD
325 W Center St,
Spanish Fork, UT 84660-2060

Ph: (801) 798-7301
Roman Y Takasaki, MD
336 W 100 S,
Spanish Fork, UT 84660-5881

Ph: (801) 798-7301

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› Verified 9 days ago


Family Medicine Doctors in Spanish Fork, UT

Tracy M Frandsen, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 W Center St, Spanish Fork, UT 84660
Phone: 801-798-7301    Fax: 801-798-8513
Dr. Robert A Frampton, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 24 N 100 E, Spanish Fork, UT 84660
Phone: 801-798-5359    
James J Rose Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 325 W Center St, Spanish Fork, UT 84660
Phone: 801-798-7301    Fax: 801-798-8513
Dr. Andrew Barclay, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 336 W 100 S, Spanish Fork, UT 84660
Phone: 801-798-7301    Fax: 801-798-8513
Frank J Archer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24 N 100 E, Spanish Fork, UT 84660
Phone: 801-465-4896    Fax: 801-465-3267
Jeffrey J Juchau, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 325 W Center St, Spanish Fork, UT 84660
Phone: 801-798-7301    Fax: 801-798-8513
Dr. Randy Roy Lundell, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 954 N 200 E Ste 954, Spanish Fork, UT 84660
Phone: 801-504-6117    Fax: 801-504-6328

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