<unavail> in Kailua Kona, HI - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Pain) in Kailua Kona, Hawaii. The current practice location for is 75-809 Keaolani Dr, Kailua Kona, Hawaii. For appointments, you can reach them via phone at (808) 987-6465. The mailing address for is 75-809 Keaolani Dr, Kailua Kona, Hawaii and phone number is (808) 987-6465.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336761246. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 987-6465.

Contact Information


	75-809 Keaolani Dr Kailua Kona HI 96740-8815
	(808) 987-6465
	(877) 296-6734

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	75-809 Keaolani Dr, Kailua Kona, Hawaii
Authorized Official Name and Position	Norman L Goody (OWNER/PRESIDENT)
Authorized Official Contact	8089876465
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
75-809 Keaolani Dr Kailua Kona HI 96740-8815 Ph: (808) 987-6465	75-809 Keaolani Dr Kailua Kona HI 96740-8815 Ph: (808) 987-6465

NPI Details:

NPI Number	1336761246
Provider Enumeration Date	05/13/2020
Last Update Date	08/18/2020

Medicare PECOS Information:

Medicare PECOS PAC ID	1658792916
Medicare Enrollment ID	O20200522001616

Medical Identifiers

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

Identifier	Type	State	Issuer
1336761246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
261QP3300X	Clinic/center - Pain	(* (Not Available))	Primary
261QR0405X	Clinic/center - Rehabilitation, Substance Use Disorder	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Norman Goody
Provider Type	Practitioner - Anesthesiology
Provider Identifiers	NPI Number: 1871765925 PECOS PAC ID: 0244121150 Enrollment ID: I20060103000694

Reviews and Comments

Clinic/Center in Kailua Kona, HI

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- Medicare Primary Care in Kailua Kona, HI