Ms Phylavanh Phanhtharath, ACNS-BC - Medicare Nurse Practitioner in Hilo, HI

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Ms Phylavanh Phanhtharath, ACNS-BC is a medicare enrolled "Rehabilitation Hospital" in Hilo, Hawaii. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hilo Medical Center, Kau Hospital and her current practice location is 1190 Waianuenue Ave, Hilo, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 932-3000.

Ms Phylavanh Phanhtharath is licensed to practice in Texas (license number AP133384) 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 1265965321.

Contact Information

Ms Phylavanh Phanhtharath, ACNS-BC
1190 Waianuenue Ave,
Hilo, HI 96720-2094
(808) 932-3000
Not Available

Map and Direction




Provider's Profile

Full NameMs Phylavanh Phanhtharath
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1190 Waianuenue Ave, Hilo, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Phylavanh Phanhtharath graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1265965321
  • Provider Enumeration Date: 04/06/2017
  • Last Update Date: 08/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9335579408
  • Enrollment ID: I20200414001855

Medical Identifiers

Medical identifiers for Ms Phylavanh Phanhtharath such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265965321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health APRN-2756 (Hawaii)Secondary
283X00000XRehabilitation Hospital AP133384 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hilo Medical CenterHilo, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hilo Medical Center125442290072
Kau Hospital741694554889

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. Ms Phylavanh Phanhtharath allows following entities to bill medicare on her behalf.
Entity NameKau Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144304338
PECOS PAC ID: 7416945548
Enrollment ID: O20040601000398
Entity NameHilo Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962584060
PECOS PAC ID: 1254422900
Enrollment ID: O20070809000268

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. Ms Phylavanh Phanhtharath 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 AddressPractice Location Address
Ms Phylavanh Phanhtharath, ACNS-BC
1190 Waianuenue Ave,
Hilo, HI 96720-2094

Ph: (808) 932-3000		Ms Phylavanh Phanhtharath, ACNS-BC
1190 Waianuenue Ave,
Hilo, HI 96720-2094

Ph: (808) 932-3000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.