Dr Summer Douban, MD is a medicare enrolled "Hospitalist" physician in Lihue, Hawaii. She went to State University Of Ny Upstate Medical University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Kauai Medical Clinic and her current practice location is
3-3420 Kuhio Hwy, Suite B, Lihue, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 245-1100.
Dr Summer Douban is licensed to practice in Hawaii (license number MD-12292) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023188398.
Physician's Profile
| Full Name | Dr Summer Douban |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 32 Years |
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| Location | 3-3420 Kuhio Hwy, Lihue, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Summer Douban attended and graduated from State University Of Ny Upstate Medical University in 1992
NPI Data:
- NPI Number: 1023188398
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 11/04/2010
Medicare PECOS Information:
- PECOS PAC ID: 9638132202
- Enrollment ID: I20041105000249
Medical Identifiers
Medical identifiers for Dr Summer Douban such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023188398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | MD-12292 (Hawaii) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kauai Medical Clinic | 5092628479 | 125 |
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 Summer Douban allows following entities to bill medicare on her behalf.
| Entity Name | Kauai Medical Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540 |
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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 Summer Douban 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 Summer Douban, MD
3-3420 Kuhio Hwy, Suite B,
Lihue, HI 96766-1042
Ph: (808) 245-1100 | Dr Summer Douban, MD
3-3420 Kuhio Hwy, Suite B,
Lihue, HI 96766-1042
Ph: (808) 245-1100 |
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