Patti Km Endo, MD is a medicare enrolled "Dermatology" physician in Wailuku, Hawaii. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Dermatology. Her current practice location is
1830 Wells St 102, Wailuku, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 877-3635.
Patti Km Endo is licensed to practice in Hawaii (license number MD 9088) 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 1699870956.
Physician's Profile
| Full Name | Patti Km Endo |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 33 Years |
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| Location | 1830 Wells St 102, Wailuku, 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:
- Patti Km Endo attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 1991
NPI Data:
- NPI Number: 1699870956
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 10/28/2015
Medicare PECOS Information:
- PECOS PAC ID: 9537343702
- Enrollment ID: I20110413000012
Medical Identifiers
Medical identifiers for Patti Km Endo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699870956 | NPI | - | NPPES |
| 07506301 | Medicaid | HI | |
| B202107 | Other | HI | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | MD 9088 (Hawaii) | 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. Patti Km Endo allows following entities to bill medicare on her behalf.
| Entity Name | Patti K M Endo Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972893980
PECOS PAC ID: 7719161983
Enrollment ID: O20110413000005 |
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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. Patti Km Endo 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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Patti Km Endo, MD
1830 Wells St, Ste 102,
Wailuku, HI 96793-2365
Ph: (808) 877-3635 | Patti Km Endo, MD
1830 Wells St 102,
Wailuku, HI 96793-2365
Ph: (808) 877-3635 |
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