Alice Suncloud, RD is a medicare enrolled "Dietitian, Registered" provider in Kurtistown, Hawaii. Her current practice location is
16-1488 Poouli Rd., Kurtistown, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 982-8470.
Alice Suncloud is licensed to practice in Hawaii (license number 1060241) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861893455.
Healthcare Provider's Profile
| Full Name | Alice Suncloud |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 16-1488 Poouli Rd., Kurtistown, 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: 1861893455
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 10/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 4688967961
- Enrollment ID: I20160725000975
Medical Identifiers
Medical identifiers for Alice Suncloud such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861893455 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 1060241 (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. Alice Suncloud allows following entities to bill medicare on her behalf.
| Provider Name | Bay Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689814022
PECOS PAC ID: 5890699037
Enrollment ID: O20031120000512 |
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| Provider Name | Hui Malama Ola Na Oiwi |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134133713
PECOS PAC ID: 3274559265
Enrollment ID: O20051019000451 |
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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. Alice Suncloud 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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Alice Suncloud, RD
17-345 Volcano Rd. #7,
Kurtistown, HI 96760
Ph: (808) 982-8470 | Alice Suncloud, RD
16-1488 Poouli Rd.,
Kurtistown, HI 96760
Ph: (808) 982-8470 |
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