Tanner Kim, MD - Medicare Surgery in Honolulu, HI

Tanner Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Honolulu, Hawaii. His current practice location is 1301 Punchbowl St, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 691-1000.

Tanner Kim is licensed to practice in Hawaii (license number MD-22626) 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 1154778249.

Contact Information

Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499
(808) 691-1000
Not Available



Physician's Profile

Full NameTanner Kim
GenderMale
SpecialitySurgery - Vascular Surgery
Location1301 Punchbowl 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: 1154778249
  • Provider Enumeration Date: 05/18/2016
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1850685694
  • Enrollment ID: I20220817003515

Medical Identifiers

Medical identifiers for Tanner Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154778249NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD-22626 (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. Tanner Kim allows following entities to bill medicare on his behalf.
Entity NameThe Queens Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366

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Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

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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. Tanner Kim 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
Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499

Ph: (808) 691-1000
Tanner Kim, MD
1301 Punchbowl St,
Honolulu, HI 96813-2499

Ph: (808) 691-1000

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Surgery Doctors in Honolulu, HI

Huseyin Akin Erol, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1356 Lusitana St Fl 6, Honolulu, HI 96813
Phone: 979-571-6231    
Jessica Green,
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 888 S King St, Honolulu, HI 96813
Phone: 808-522-4469    
Dr. Justin M. Galovich, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819
Phone: 808-432-0000    
Dr. Cedric San Felipe Lorenzo, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1329 Lusitana St Ste 304, Honolulu, HI 96813
Phone: 808-566-6723    
Dr. Elna M. Masuda, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 888 S King St, Honolulu, HI 96813
Phone: 808-522-4000    Fax: 808-522-4523
Dr. Katie H.t. Huang, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 888 S King St, Honolulu, HI 96813
Phone: 808-522-4000    Fax: 808-522-4397
Dr. Patrick Paul Pedro, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 550 S Beretania St, Suite #501, Honolulu, HI 96813
Phone: 808-528-4144    Fax: 808-525-6868

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