Lisa K Sodetani, MD is a medicare enrolled "Internal Medicine" physician in Kula, Hawaii. She went to University Of Southern California Keck School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Maui Health System A Kaiser Foundation Hospitals Llc and her current practice location is
100 Keokea Pl, Kula, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 876-4331.
Lisa K Sodetani is licensed to practice in Hawaii (license number MD15783) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609060995.
Physician's Profile
| Full Name | Lisa K Sodetani |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 19 Years |
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| Location | 100 Keokea Pl, Kula, Hawaii |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa K Sodetani attended and graduated from University Of Southern California Keck School Of Medicine in 2006
NPI Data:
- NPI Number: 1609060995
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749479350
- Enrollment ID: I20110113000451
Medical Identifiers
Medical identifiers for Lisa K Sodetani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609060995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD15783 (Hawaii) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Maui Health System A Kaiser Foundation Hospitals Llc | 9830476159 | 48 |
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. Lisa K Sodetani allows following entities to bill medicare on her behalf.
| Entity Name | Hawaii Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625 |
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| Entity Name | Maui Health System A Kaiser Foundation Hospitals Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013379460
PECOS PAC ID: 9830476159
Enrollment ID: O20170725002612 |
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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. Lisa K Sodetani 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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Lisa K Sodetani, MD
100 Keokea Pl,
Kula, HI 96790-7450
Ph: (808) 876-4331 | Lisa K Sodetani, MD
100 Keokea Pl,
Kula, HI 96790-7450
Ph: (808) 876-4331 |
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