Kelly Matsuura, PT in Honolulu, HI - Medicare Physical Therapist Provider

Kelly Matsuura, PT is a medicare enrolled "Physical Therapist" provider in Honolulu, Hawaii. His current practice location is 550 S Beretania St Ste 703, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-4211.

Kelly Matsuura is licensed to practice in Hawaii (license number 1380) 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 1881445344.

Contact Information

	Kelly Matsuura, PT
	550 S Beretania St Ste 703, Honolulu, HI 96813-2496
	(808) 691-4211
	(808) 691-5388

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Matsuura
Gender	Male
Speciality	Physical Therapist
Location	550 S Beretania St Ste 703, 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: 1881445344
Provider Enumeration Date: 04/01/2024
Last Update Date: 04/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9436590783
Enrollment ID: I20240516004236

Medical Identifiers

Medical identifiers for Kelly Matsuura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881445344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1380 (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. Kelly Matsuura allows following entities to bill medicare on his behalf.

Provider Name	Queens University Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534

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. Kelly Matsuura 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
Kelly Matsuura, PT 550 S Beretania St Ste 703, Honolulu, HI 96813-2496 Ph: (808) 691-4211	Kelly Matsuura, PT 550 S Beretania St Ste 703, Honolulu, HI 96813-2496 Ph: (808) 691-4211

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

Kelly Matsuura, PT - Medicare Physical Therapist in Honolulu, HI