Dr Kevin Mamoru Chom Duk Akiyama, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Waianae, Hawaii. His current practice location is
86-260 Farrington Hwy, Waianae, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 697-3300.
Dr Kevin Mamoru Chom Duk Akiyama is licensed to practice in Hawaii (license number 2179) 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 1487974838.
Healthcare Provider's Profile
| Full Name | Dr Kevin Mamoru Chom Duk Akiyama |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 86-260 Farrington Hwy, Waianae, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487974838
- Provider Enumeration Date: 06/08/2010
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274072004
- Enrollment ID: I20240826000675
Medical Identifiers
Medical identifiers for Dr Kevin Mamoru Chom Duk Akiyama such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487974838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YS0200X | Counselor - School | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2179 (Hawaii) | 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 Kevin Mamoru Chom Duk Akiyama allows following entities to bill medicare on his behalf.
| Entity Name | Waianae District Comprehensive Health And Hospital Board, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275566424
PECOS PAC ID: 9931008349
Enrollment ID: O20040105000833 |
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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 Kevin Mamoru Chom Duk Akiyama 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 |
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Dr Kevin Mamoru Chom Duk Akiyama, PSYD
86-260 Farrington Hwy,
Waianae, HI 96792-3128
Ph: (808) 697-3300 | Dr Kevin Mamoru Chom Duk Akiyama, PSYD
86-260 Farrington Hwy,
Waianae, HI 96792-3128
Ph: (808) 697-3300 |
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