Dr Kenneth C Pugh, PHD - Medicare Audiologist in Ewa Beach, HI

Dr Kenneth C Pugh, PHD is a medicare enrolled "Audiologist" provider in Ewa Beach, Hawaii. His current practice location is 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-3352.

Dr Kenneth C Pugh is licensed to practice in Hawaii (license number AUD-88) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477682805.

Contact Information

Dr Kenneth C Pugh, PHD
91-2135 Fort Weaver Rd Fl 3,
Ewa Beach, HI 96706-1940
(808) 691-3352
(808) 691-3355



Healthcare Provider's Profile

Full NameDr Kenneth C Pugh
GenderMale
SpecialityAudiologist
Location91-2135 Fort Weaver Rd Fl 3, Ewa Beach, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477682805
  • Provider Enumeration Date: 03/02/2007
  • Last Update Date: 06/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840289690
  • Enrollment ID: I20040507000977

Medical Identifiers

Medical identifiers for Dr Kenneth C Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477682805NPI-NPPES
0000245423OtherHIHMSA BILLING NUMBER
55114401MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist 80330 (Texas)Secondary
231H00000XAudiologist AUD-88 (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. Dr Kenneth C Pugh allows following entities to bill medicare on his behalf.
Provider NameThe Queens Medical Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366

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Provider NameIsland Audiology Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811948045
PECOS PAC ID: 5092728386
Enrollment ID: O20060804000103

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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 Kenneth C Pugh 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 AddressPractice Location Address
Dr Kenneth C Pugh, PHD
91-2135 Fort Weaver Rd Fl 3,
Ewa Beach, HI 96706-1940

Ph: (808) 691-3352
Dr Kenneth C Pugh, PHD
91-2135 Fort Weaver Rd Fl 3,
Ewa Beach, HI 96706-1940

Ph: (808) 691-3352

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› Verified 3 days ago


Audiologist in Ewa Beach, HI


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