Optimal Wound Solutions Llc is a medicare enrolled "Clinic/center - Multi-specialty" provider in Ewa Beach, Hawaii. Their current practice location is
91-1246 Kaikohola St, Ewa Beach, Hawaii. You can reach out to their office (for appointments etc.) via phone at
(808) 772-0291.
Optimal Wound Solutions Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Optimal Wound Solutions Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1124626098.
Healthcare Provider's Profile
Full Name | Optimal Wound Solutions Llc |
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Type | Facility |
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Speciality | Clinic/center - Multi-specialty |
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Location | 91-1246 Kaikohola St, Ewa Beach, Hawaii |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124626098
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 7113330119
- Enrollment ID: O20210112003082
Medical Identifiers
Medical identifiers for Optimal Wound Solutions Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124626098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Optimal Wound Solutions Llc acts as a billing entity for following providers:
Provider Name | Kimberly R Pennington |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1538253000 PECOS PAC ID: 0244467017 Enrollment ID: I20131226001697 |
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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. Optimal Wound Solutions Llc 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 |
Optimal Wound Solutions Llc 91-1246 Kaikohola St, Ewa Beach, HI 96706-6231 Ph: (808) 772-0291 | Optimal Wound Solutions Llc 91-1246 Kaikohola St, Ewa Beach, HI 96706-6231 Ph: (808) 772-0291 |
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