Individual ProviderSatomi KawamotoRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6500PECOS EnrollmentBased on the most recent information from CMS, provider Satomi Kawamoto is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1316984545Provider TypeIndividualFull NameKawamoto, SatomiCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date5/31/2006Last Updated2/8/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6500FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-6500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD58129MarylandProvider IdentifiersIDDescriptionIssuerID699939500DescriptionMedicaidIssuerUnlistedMaryland