Jacqueline Fernandez Adlawan, - Medicare Family Medicine in Aiea, HI

Jacqueline Fernandez Adlawan, is a medicare enrolled "Family Medicine" in Aiea, Hawaii. Her current practice location is 98-1005 Moanalua Road, Suite 3030, Aiea, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 627-3255.

Jacqueline Fernandez Adlawan is licensed to practice in Hawaii (license number MDR-7684) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598708125.

Contact Information

Jacqueline Fernandez Adlawan,
98-1005 Moanalua Road, Suite 3030,
Aiea, HI 96701-4735
(808) 627-3255
(808) 627-3265



Provider's Profile

Full NameJacqueline Fernandez Adlawan
GenderFemale
SpecialityFamily Medicine
Location98-1005 Moanalua Road, Aiea, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598708125
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 08/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022016070
  • Enrollment ID: I20061129000351

Medical Identifiers

Medical identifiers for Jacqueline Fernandez Adlawan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598708125NPI-NPPES
9646761MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 200450060NP (Oregon)Secondary
207Q00000XFamily Medicine MDR-7684 (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. Jacqueline Fernandez Adlawan allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099

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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. Jacqueline Fernandez Adlawan 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
Jacqueline Fernandez Adlawan,
95-390 Kuahelani Ave,
Mililani, HI 96789-1192

Ph: (808) 627-3255
Jacqueline Fernandez Adlawan,
98-1005 Moanalua Road, Suite 3030,
Aiea, HI 96701-4735

Ph: (808) 627-3255

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