Kukui Lifestyle Medicine Clinic - Medicare Primary Care in Captain Cook, HI

Kukui Lifestyle Medicine Clinic is a medicare enrolled primary clinic (Internal Medicine) in Captain Cook, Hawaii. The current practice location for Kukui Lifestyle Medicine Clinic is 82-6066 Mamalahoa Hwy Ste 14, Captain Cook, Hawaii. For appointments, you can reach them via phone at (808) 825-6557. The mailing address for Kukui Lifestyle Medicine Clinic is Po Box 312, Captain Cook, Hawaii and phone number is (808) 825-6557.

Kukui Lifestyle Medicine Clinic is licensed to practice in Hawaii (license number MD16101). The clinic also participates in the medicare program and its NPI number is 1073019162. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 825-6557.

Contact Information

Kukui Lifestyle Medicine Clinic
82-6066 Mamalahoa Hwy Ste 14
Captain Cook
HI 96704-8204
(808) 825-6557
(808) 731-6511

Primary Care Clinic Profile

Full NameKukui Lifestyle Medicine Clinic
SpecialityInternal Medicine
Location82-6066 Mamalahoa Hwy Ste 14, Captain Cook, Hawaii
Authorized Official Name and PositionLeon Matsuo (OWNER)
Authorized Official Contact8083820754
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kukui Lifestyle Medicine Clinic
Po Box 312
Captain Cook
HI 96704-0312

Ph: (808) 825-6557
Kukui Lifestyle Medicine Clinic
82-6066 Mamalahoa Hwy Ste 14
Captain Cook
HI 96704-8204

Ph: (808) 825-6557

NPI Details:

NPI Number1073019162
Provider Enumeration Date04/05/2018
Last Update Date03/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305100736
Medicare Enrollment IDO20180510001009

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Medical Identifiers

Medical identifiers for Kukui Lifestyle Medicine Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073019162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD16101 (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. Kukui Lifestyle Medicine Clinic acts as a billing entity for following providers:
Provider NameJodi Leslie Matsuo
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1720582869
PECOS PAC ID: 5193741411
Enrollment ID: I20051017000554

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Provider NameLeon P Matsuo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235334947
PECOS PAC ID: 0547438947
Enrollment ID: I20110802000814

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Internal Medicine in Captain Cook, HI

West Hawaii Community Health Center, Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 83-5360 Mamalahoa Hwy, Captain Cook, HI 96704
Phone: 808-326-3878    
Ohana Kauka, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 82-6123 Mamalahoa Hwy, Top Floor, Captain Cook, HI 96704
Phone: 808-323-8200    Fax: 808-323-8400

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