Pono Podiatry, Llc is a medicare enrolled "Podiatrist - Foot Surgery" provider in Lahaina, Hawaii. Their current practice location is
40 Kupuohi St Ste 204, Lahaina, Hawaii. You can reach out to their office (for appointments etc.) via phone at
(808) 727-2117.
Pono Podiatry, Llc is licensed to practice in Hawaii (license number PO-202) and it also participates in the medicare program. Pono Podiatry, 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 1891208930.
Healthcare Provider's Profile
| Full Name | Pono Podiatry, Llc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot Surgery |
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| Location | 40 Kupuohi St Ste 204, Lahaina, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891208930
- Provider Enumeration Date: 11/12/2017
- Last Update Date: 06/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628336237
- Enrollment ID: O20180228001478
Medical Identifiers
Medical identifiers for Pono Podiatry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891208930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | PO-202 (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.
Pono Podiatry, Llc acts as a billing entity for following providers:
| Provider Name | David Wing Lee |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1245554138
PECOS PAC ID: 6709013345
Enrollment ID: I20131205001654 |
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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. Pono Podiatry, 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 |
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Pono Podiatry, Llc
40 Kupuohi St Ste 204,
Lahaina, HI 96761-2714
Ph: (808) 727-2117 | Pono Podiatry, Llc
40 Kupuohi St Ste 204,
Lahaina, HI 96761-2714
Ph: (808) 727-2117 |
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