Mr Theron Ogata, PT in Kailua Kona, HI - Medicare Physical Therapist Provider

Mr Theron Ogata, PT is a medicare enrolled "Physical Therapist" provider in Kailua Kona, Hawaii. His current practice location is 75-5699 Kopiko St, Kailua Kona, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 329-7744.

Mr Theron Ogata is licensed to practice in Hawaii (license number PT-1906) 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 1437292240.

Contact Information

	Mr Theron Ogata, PT
	75-5699 Kopiko St, Kailua Kona, HI 96740-1668
	(808) 329-7744
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Theron Ogata
Gender	Male
Speciality	Physical Therapist
Location	75-5699 Kopiko St, Kailua Kona, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437292240
Provider Enumeration Date: 02/14/2007
Last Update Date: 02/08/2008

Medicare PECOS Information:

PECOS PAC ID: 3476642729
Enrollment ID: I20071210000210

Medical Identifiers

Medical identifiers for Mr Theron Ogata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437292240	NPI	-	NPPES
572265-02	Medicaid	HI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT-1906 (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. Mr Theron Ogata allows following entities to bill medicare on his behalf.

Provider Name	Club Rehab, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811092406 PECOS PAC ID: 0749193977 Enrollment ID: O20031112000432

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. Mr Theron Ogata 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
Mr Theron Ogata, PT 75-5699 Kopiko St, Kailua Kona, HI 96740-1668 Ph: (808) 329-7744	Mr Theron Ogata, PT 75-5699 Kopiko St, Kailua Kona, HI 96740-1668 Ph: (808) 329-7744

Reviews and Comments

Physical Therapist in Kailua Kona, HI

Mr. Daniel Edward Rick, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 75-5699 Kopiko St, Kailua Kona, HI 96740 Phone: 808-329-7744 Fax: 808-334-1608
Jean Ruth Thompson, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 75-165 Hualalai Rd, Kailua Kona, HI 96740 Phone: 808-329-0591 Fax: 808-329-2066
Alyssa Krol, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75-5699 Kopiko St, Kailua Kona, HI 96740 Phone: 808-329-7744 Fax: 808-322-1608
Dr. Victoria Anne Giffen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75-5660 Kopiko St, Kailua Kona, HI 96740 Phone: 808-987-6795 Fax: 808-660-4237
Stephanie Colasanti, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 78-6831 Alii Dr Ste 420, Kailua Kona, HI 96740 Phone: 808-498-4144
Brendan Robert Alex, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75-165 Hualalai Rd, Kailua Kona, HI 96740 Phone: 808-329-0591 Fax: 808-329-2066
Dr. Brett Andrew Carey, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 75-5597 Palani Rd Ste A1, Kailua Kona, HI 96740 Phone: 808-987-6795

Mr Theron Ogata, PT - Medicare Physical Therapist in Kailua Kona, HI