Judd Boloker, MD - Medicare Pediatrics in Honolulu, HI

Judd Boloker, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Honolulu, Hawaii. His current practice location is 3288 Moanalua Rd, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 432-0000.

Judd Boloker is licensed to practice in Hawaii (license number MD-15619) 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 1255334579.

Contact Information

Judd Boloker, MD
3288 Moanalua Rd,
Honolulu, HI 96819-1469
(808) 432-0000
Not Available



Physician's Profile

Full NameJudd Boloker
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location3288 Moanalua Rd, Honolulu, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255334579
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 05/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355764028
  • Enrollment ID: I20200720000889

Medical Identifiers

Medical identifiers for Judd Boloker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255334579NPI-NPPES
0026735MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine MA076064 (New Jersey)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine MD-15619 (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. Judd Boloker 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. Judd Boloker 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
Judd Boloker, MD
3288 Moanalua Rd,
Honolulu, HI 96819-1469

Ph: (808) 432-0000
Judd Boloker, MD
3288 Moanalua Rd,
Honolulu, HI 96819-1469

Ph: (808) 432-0000

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Pediatrics Doctors in Honolulu, HI

Dr. Patricia Louise Heu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 741 Sunset Ave, Honolulu, HI 96816
Phone: 808-733-9058    Fax: 808-733-9068
Marissa Helene Fakaosita, MD
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Medicare: Medicare Enrolled
Practice Location: 1319 Punahou St Fl 7, Honolulu, HI 96826
Phone: 808-369-1200    
Dr. Jeffrey K. Okamoto, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1319 Punahou St, Suite 757, Honolulu, HI 96826
Phone: 808-983-8387    Fax: 808-945-1570
Eliot Nobuo Tomomitsu, M.D.
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Medicare: Medicare Enrolled
Practice Location: 321 N Kuakini St, Suite #201, Honolulu, HI 96817
Phone: 808-523-8611    
James A Griffith, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819
Phone: 808-432-0000    
Marivic Cristobal Raymundo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 915 N King St, Honolulu, HI 96817
Phone: 808-848-1438    
Kelley Chinen Okimoto, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1319 Punahou St, Honolulu, HI 96826
Phone: 808-983-8387    

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