Dr Michael Patrick Mouri, MD, DDS is a medicare enrolled "Emergency Medicine" provider in Honolulu, Hawaii. His current practice location is
1744 Liliha St, Suite 207, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 536-6073.
Dr Michael Patrick Mouri is licensed to practice in Alabama (license number 18734) 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 1346457116.
Healthcare Provider's Profile
| Full Name | Dr Michael Patrick Mouri |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1744 Liliha St, Honolulu, 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: 1346457116
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 05/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103060348
- Enrollment ID: I20130910000359
Medical Identifiers
Medical identifiers for Dr Michael Patrick Mouri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346457116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 18734 (Alabama) | Secondary |
| 122300000X | Dentist | M8095 (Hawaii) | Secondary |
| 171000000X | Military Health Care Provider | 18734 (Alabama) | Secondary |
| 171100000X | Acupuncturist | 18734 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | M8095 (Hawaii) | Secondary |
| 207Q00000X | Family Medicine | 18734 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | M8095 (Hawaii) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | M8095 (Hawaii) | Secondary |
| 209800000X | Legal Medicine | 18734 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | 18734 (Alabama) | 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 Michael Patrick Mouri allows following entities to bill medicare on his behalf.
| Entity Name | App Of Alabama Ed Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659646040
PECOS PAC ID: 3577725068
Enrollment ID: O20120430000174 |
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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 Michael Patrick Mouri 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 |
|---|
Dr Michael Patrick Mouri, MD, DDS
1744 Liliha St Ste 207,
Honolulu, HI 96817-3115
Ph: (469) 585-1455 | Dr Michael Patrick Mouri, MD, DDS
1744 Liliha St, Suite 207,
Honolulu, HI 96817-3115
Ph: (808) 536-6073 |
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