Dr Pamela C Mckenna, MD is a medicare enrolled "Pediatrics" physician in Kapaau, Hawaii. Her current practice location is
53-3925 Akoni Pule Hwy, Kapaau, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 889-6236.
Dr Pamela C Mckenna is licensed to practice in Wisconsin (license number 54673-20) 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 1659433415.
Physician's Profile
| Full Name | Dr Pamela C Mckenna |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 53-3925 Akoni Pule Hwy, Kapaau, 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: 1659433415
- Provider Enumeration Date: 12/15/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426173477
- Enrollment ID: I20140407001569
Medical Identifiers
Medical identifiers for Dr Pamela C Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659433415 | NPI | - | NPPES |
| MD5231 | Other | HI | STATE LICENSE |
| 1659433415 | Medicaid | WI | |
| E04682 | Other | HI | CONTROLLED SUBSTANCES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 54673-20 (Wisconsin) | 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. Dr Pamela C Mckenna allows following entities to bill medicare on her behalf.
| Entity Name | Hamakua Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013993146
PECOS PAC ID: 8325940885
Enrollment ID: O20040123001043 |
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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 Pamela C Mckenna 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 Pamela C Mckenna, MD
45-549 Plumeria St,
Honokaa, HI 96727-6902
Ph: (808) 775-7204 | Dr Pamela C Mckenna, MD
53-3925 Akoni Pule Hwy,
Kapaau, HI 96755
Ph: (808) 889-6236 |
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