Dr Elliot R Willis-orlando, DDS is a medicare enrolled "Dentist - General Practice" provider in Waimea, Hawaii. His current practice location is
4643b Waimea Canyon Rd Waimea, Waimea, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 240-0150.
Dr Elliot R Willis-orlando is licensed to practice in Hawaii (license number DT-3183) 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 1164288684.
Healthcare Provider's Profile
| Full Name | Dr Elliot R Willis-orlando |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 4643b Waimea Canyon Rd Waimea, Waimea, 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: 1164288684
- Provider Enumeration Date: 02/22/2024
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800334145
- Enrollment ID: I20240816002921
Medical Identifiers
Medical identifiers for Dr Elliot R Willis-orlando such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164288684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | DT-3183 (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 Elliot R Willis-orlando allows following entities to bill medicare on his behalf.
| Entity Name | Hoola Lahui Hawaii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245269976
PECOS PAC ID: 2860303021
Enrollment ID: O20031226000260 |
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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 Elliot R Willis-orlando 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 Elliot R Willis-orlando, DDS
4491 Rice St,
Lihue, HI 96766-1343
Ph: (808) 240-0100 | Dr Elliot R Willis-orlando, DDS
4643b Waimea Canyon Rd Waimea,
Waimea, HI 96796
Ph: (808) 240-0150 |
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