Dr Cori Takesue, PSYD is a medicare enrolled "Psychologist" provider in Lanai City, Hawaii. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lanai Community Health Center and her current practice location is
333 Sixth Street, Lanai City, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 565-6919.
Dr Cori Takesue is licensed to practice in Hawaii (license number PSY-1861) 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 1942409156.
Healthcare Provider's Profile
Full Name | Dr Cori Takesue |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 11 Years |
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Location | 333 Sixth Street, Lanai 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. |
Medical Education and Training:
- Dr Cori Takesue graduated from medical school in 2013
NPI Data:
- NPI Number: 1942409156
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 09/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688071582
- Enrollment ID: I20210920002518
Medical Identifiers
Medical identifiers for Dr Cori Takesue such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942409156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY-1861 (Hawaii) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lanai Community Health Center | 5395828925 | 6 |
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. Dr Cori Takesue allows following entities to bill medicare on her behalf.
Entity Name | Lanai Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679754097 PECOS PAC ID: 5395828925 Enrollment ID: O20120629000093 |
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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. Dr Cori Takesue 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 |
Dr Cori Takesue, PSYD Po Box 631261, Lanai City, HI 96763-1261 Ph: () - | Dr Cori Takesue, PSYD 333 Sixth Street, Lanai City, HI 96763 Ph: (808) 565-6919 |
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