Carl John Dela Pena, DPT in Honolulu, HI - Medicare Physical Therapist Provider

Carl John Dela Pena, DPT is a medicare enrolled "Physical Therapist" provider in Honolulu, Hawaii. His current practice location is 725 Kapiolani Blvd Ste C103, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 674-1142.

Carl John Dela Pena is licensed to practice in Hawaii (license number PT-5828) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437927191.

Contact Information

	Carl John Dela Pena, DPT
	725 Kapiolani Blvd Ste C103, Honolulu, HI 96813-6027
	(808) 674-1142
	(808) 674-1143

Map and Direction

Healthcare Provider's Profile

Full Name	Carl John Dela Pena
Gender	Male
Speciality	Physical Therapist
Location	725 Kapiolani Blvd Ste C103, Honolulu, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437927191
Provider Enumeration Date: 12/12/2023
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9537507538
Enrollment ID: I20240410001763

Medical Identifiers

Medical identifiers for Carl John Dela Pena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437927191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-5828 (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. Carl John Dela Pena allows following entities to bill medicare on his behalf.

Provider Name	Core Sports Honolulu, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538792742 PECOS PAC ID: 7517397367 Enrollment ID: O20200420001570

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. Carl John Dela Pena 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
Carl John Dela Pena, DPT 599 Farrington Hwy Ste 102, Kapolei, HI 96707-2028 Ph: (808) 674-1142	Carl John Dela Pena, DPT 725 Kapiolani Blvd Ste C103, Honolulu, HI 96813-6027 Ph: (808) 674-1142

Reviews and Comments

Physical Therapist in Honolulu, HI

Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000

Carl John Dela Pena, DPT - Medicare Physical Therapist in Honolulu, HI