Braxton Seiya Fukutomi, - Medicare Internal Medicine in Honolulu, HI

Braxton Seiya Fukutomi, is a medicare enrolled "Internal Medicine" physician in Honolulu, Hawaii. His current practice location is 2828 Paa St, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 432-5777.

Braxton Seiya Fukutomi is licensed to practice in Hawaii (license number MDR-7736) 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 1053970350.

Contact Information

Braxton Seiya Fukutomi,
2828 Paa St,
Honolulu, HI 96819-4430
(808) 432-5777
Not Available



Physician's Profile

Full NameBraxton Seiya Fukutomi
GenderMale
SpecialityInternal Medicine
Location2828 Paa St, Honolulu, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053970350
  • Provider Enumeration Date: 06/10/2019
  • Last Update Date: 06/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3971970633
  • Enrollment ID: I20221109001531

Medical Identifiers

Medical identifiers for Braxton Seiya Fukutomi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053970350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MDR-7736 (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. Braxton Seiya Fukutomi allows following entities to bill medicare on his behalf.
Entity NameHawaii Permanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625

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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. Braxton Seiya Fukutomi 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
Braxton Seiya Fukutomi,
2828 Paa St,
Honolulu, HI 96819-4430

Ph: () -
Braxton Seiya Fukutomi,
2828 Paa St,
Honolulu, HI 96819-4430

Ph: (808) 432-5777

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Internal Medicine Doctors in Honolulu, HI

Dr. Isac C. Thomas, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819
Phone: 808-432-0000    
Nishal Brahmbhatt, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Punchbowl St, Honolulu, HI 96813
Phone: 808-691-1000    
Dr. Thomas Jon Uyehara Wong, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1301 Punchbowl St, Honolulu, HI 96813
Phone: 808-691-1000    
Taryn Kikue Miyake, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1356 Lusitana St Fl 7, Honolulu, HI 96813
Phone: 808-586-2910    
Joshua Bruce Taylor, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1356 Lusitana St Fl 7, Honolulu, HI 96813
Phone: 520-909-7445    
Raja Haris Rizwan, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1356 Lusitana St Fl 7, Honolulu, HI 96813
Phone: 808-392-3286    
Dr. Elizabeth G Quinn, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Pensacola St, Honolulu, HI 96814
Phone: 808-432-2303    

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