Dr Jivin Gerard Tantisira, MD in Wailuku, HI

Dr Jivin Gerard Tantisira, MD is a medicare enrolled "Ophthalmology" physician in Wailuku, Hawaii. He went to Yale University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Aloha Eye Clinic, Ltd and his current practice location is 450 Hookahi St, Wailuku, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 877-3984.

Dr Jivin Gerard Tantisira is licensed to practice in Hawaii (license number MD 9427) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104889583.

Contact Information

	Dr Jivin Gerard Tantisira, MD
	450 Hookahi St, Wailuku, HI 96793-1447
	(808) 877-3984
	(808) 871-6498

Map and Direction

Physician's Profile

Full Name	Dr Jivin Gerard Tantisira
Gender	Male
Speciality	Ophthalmology
Experience	37 Years
Location	450 Hookahi St, Wailuku, Hawaii
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jivin Gerard Tantisira attended and graduated from Yale University School Of Medicine in 1987

NPI Data:

NPI Number: 1104889583
Provider Enumeration Date: 04/07/2006
Last Update Date: 08/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4587694252
Enrollment ID: I20090813000614

Medical Identifiers

Medical identifiers for Dr Jivin Gerard Tantisira such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104889583	NPI	-	NPPES
1447298344	Other	HI	ALOHA EYE CLINIC, LTD. NPI ID
20992-4	Other	HI	HMSA
00264901	Medicaid	HI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	MD 9427 (Hawaii)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aloha Eye Clinic, Ltd	0941190805	6

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 Jivin Gerard Tantisira allows following entities to bill medicare on his behalf.

Entity Name	Aloha Eye Clinic, Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447298344 PECOS PAC ID: 0941190805 Enrollment ID: O20040316001067

Entity Name	Aloha Eye Clinic Surgical Center Llc
Entity Type	Part B Supplier - Ambulatory Surgical Center
Entity Identifiers	NPI Number: 1669868600 PECOS PAC ID: 2365740966 Enrollment ID: O20160415000050

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 Jivin Gerard Tantisira 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 Jivin Gerard Tantisira, MD 450 Hookahi St, Wailuku, HI 96793-1474 Ph: (808) 877-3984	Dr Jivin Gerard Tantisira, MD 450 Hookahi St, Wailuku, HI 96793-1447 Ph: (808) 877-3984

Reviews and Comments

Ophthalmology Doctors in Wailuku, HI

Clifford Rhodes, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2321
Andrew William Parlin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 450 Hookahi St, Wailuku, HI 96793 Phone: 808-377-3984
Dr. Uma D Chaluvadi, MD, FRCS, FRCOPHTH. Ophthalmology Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-244-9056
Dr. Gary A Edwards, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 450 Ho'okahi Street, Aloha Eye Clinic, Wailuku, HI 96793 Phone: 808-877-3984 Fax: 808-871-6498
Dr. Cyril A. Dalmon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000
Dr. Bruce R. Taylor, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000

Dr Jivin Gerard Tantisira, MD - Medicare Ophthalmology in Wailuku, HI