Liane Junko Watanabe, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Pearl City, Hawaii. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Podiatry. Her current practice location is
1245 Kuala St Ste 102a, Pearl City, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 726-2161.
Liane Junko Watanabe is licensed to practice in Hawaii (license number PO-196) 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 1750680369.
Healthcare Provider's Profile
| Full Name | Liane Junko Watanabe |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 14 Years |
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| Location | 1245 Kuala St Ste 102a, Pearl City, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Liane Junko Watanabe graduated from medical school in 2010
NPI Data:
- NPI Number: 1750680369
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446479380
- Enrollment ID: I20150611001979
Medical Identifiers
Medical identifiers for Liane Junko Watanabe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750680369 | NPI | - | NPPES |
| 79310 | Medicaid | HI | |
| PO-196 | Other | HI | DPM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO-196 (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. Liane Junko Watanabe allows following entities to bill medicare on her behalf.
| Provider Name | Hawaii Podiatry Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497476188
PECOS PAC ID: 9537388475
Enrollment ID: O20221109000290 |
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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. Liane Junko Watanabe 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 |
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Liane Junko Watanabe, DPM
1245 Kuala St Ste 102a,
Pearl City, HI 96782-3900
Ph: (808) 726-2161 | Liane Junko Watanabe, DPM
1245 Kuala St Ste 102a,
Pearl City, HI 96782-3900
Ph: (808) 726-2161 |
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