Kaiulani Wilson Morimoto, MD FACS is a medicare enrolled "Plastic Surgery" physician in Spokane Valley, Washington. Her current practice location is
12615 E Mission Ave Ste 105, Spokane Valley, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 315-4415.
Kaiulani Wilson Morimoto is licensed to practice in Washington (license number MD00036728) 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 1124011408.
Physician's Profile
Full Name | Kaiulani Wilson Morimoto |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 12615 E Mission Ave Ste 105, Spokane Valley, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124011408
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 07/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 9133103708
- Enrollment ID: I20040614000667
Medical Identifiers
Medical identifiers for Kaiulani Wilson Morimoto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124011408 | NPI | - | NPPES |
8394512 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | MD00036728 (Washington) | 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. Kaiulani Wilson Morimoto allows following entities to bill medicare on her behalf.
Entity Name | Plastic Surgery Northwest Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780714139 PECOS PAC ID: 8022105329 Enrollment ID: O20071102000548 |
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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. Kaiulani Wilson Morimoto 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 |
Kaiulani Wilson Morimoto, MD FACS 12615 E Mission Ave Ste 105, Spokane Valley, WA 99216-1047 Ph: (509) 315-4415 | Kaiulani Wilson Morimoto, MD FACS 12615 E Mission Ave Ste 105, Spokane Valley, WA 99216-1047 Ph: (509) 315-4415 |
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