Marisa Mayumi Kim, OD - Medicare Optometrist in Honolulu, HI

Marisa Mayumi Kim, OD is a medicare enrolled "Optometrist" provider in Honolulu, Hawaii. Her current practice location is 1380 Lusitana St Ste 604, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 523-2020.

Marisa Mayumi Kim is licensed to practice in Hawaii (license number 724) 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 1629381512.

Contact Information

Marisa Mayumi Kim, OD
1380 Lusitana St Ste 604,
Honolulu, HI 96813-2442
(808) 523-2020
Not Available



Healthcare Provider's Profile

Full NameMarisa Mayumi Kim
GenderFemale
SpecialityOptometrist
Location1380 Lusitana St Ste 604, Honolulu, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629381512
  • Provider Enumeration Date: 07/20/2010
  • Last Update Date: 04/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113041187
  • Enrollment ID: I20220315000657

Medical Identifiers

Medical identifiers for Marisa Mayumi Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629381512NPI-NPPES
74327755MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 13998 (California)Secondary
152W00000XOptometrist 724 (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. Marisa Mayumi Kim allows following entities to bill medicare on her behalf.
Provider NameGregory W Schmidt Md Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1447436548
PECOS PAC ID: 6800971599
Enrollment ID: O20080305000163

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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. Marisa Mayumi 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
Marisa Mayumi Kim, OD
1380 Lusitana St Ste 604,
Honolulu, HI 96813-2442

Ph: (808) 523-2020
Marisa Mayumi Kim, OD
1380 Lusitana St Ste 604,
Honolulu, HI 96813-2442

Ph: (808) 523-2020

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Optometrist in Honolulu, HI

Courtney E. Muraoka, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Pensacola St, Honolulu, HI 96814
Phone: 808-432-2000    
Dr. Jennifer Filiatreau, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2229 N School St, Honolulu, HI 96819
Phone: 808-791-9400    
Dr. Calvin Alonzo, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 405 N Kuakini St, Ste 605, Honolulu, HI 96817
Phone: 808-847-7222    
Hawaii Vision Associates
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 405 N Kuakini St, #605, Honolulu, HI 96817
Phone: 808-225-7622    
Pearl Harbor Vision Center
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4725 Bougainville Dr, Honolulu, HI 96818
Phone: 808-422-2210    Fax: 808-422-2262
Kalihi Family Eyecare, Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1620 N School St Ste 143, Honolulu, HI 96817
Phone: 808-845-2221    
Dirk Vernon Fujii, O.D.
Optometrist
Medicare: May Accept Medicare Assignments
Practice Location: 1441 Kapiolani Blvd, Suite 805, Honolulu, HI 96814
Phone: 808-946-6136    Fax: 808-943-6236

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