Jacqueline Fernandez Adlawan, is a medicare enrolled "Family Medicine" in Aiea, Hawaii. Her current practice location is
98-1005 Moanalua Road, Suite 3030, Aiea, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 627-3255.
Jacqueline Fernandez Adlawan is licensed to practice in Hawaii (license number MDR-7684) 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 1598708125.
Provider's Profile
| Full Name | Jacqueline Fernandez Adlawan |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 98-1005 Moanalua Road, Aiea, 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: 1598708125
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 08/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 8022016070
- Enrollment ID: I20061129000351
Medical Identifiers
Medical identifiers for Jacqueline Fernandez Adlawan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598708125 | NPI | - | NPPES |
| 9646761 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 200450060NP (Oregon) | Secondary |
| 207Q00000X | Family Medicine | MDR-7684 (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. Jacqueline Fernandez Adlawan allows following entities to bill medicare on her behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099 |
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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. Jacqueline Fernandez Adlawan 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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Jacqueline Fernandez Adlawan,
95-390 Kuahelani Ave,
Mililani, HI 96789-1192
Ph: (808) 627-3255 | Jacqueline Fernandez Adlawan,
98-1005 Moanalua Road, Suite 3030,
Aiea, HI 96701-4735
Ph: (808) 627-3255 |
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