Makaloa Medical Clinic Corp. - Medicare Primary Care in Honolulu, HI

Makaloa Medical Clinic Corp. is a medicare enrolled primary clinic (Nurse Practitioner) in Honolulu, Hawaii. The current practice location for Makaloa Medical Clinic Corp. is 1670 Makaloa St Ste 201, Honolulu, Hawaii. For appointments, you can reach them via phone at (808) 979-6930. The mailing address for Makaloa Medical Clinic Corp. is 1670 Makaloa St Ste 201, Honolulu, Hawaii and phone number is (808) 979-6930.

Makaloa Medical Clinic Corp. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114799350. 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) 979-6930.

Contact Information

Makaloa Medical Clinic Corp.
1670 Makaloa St Ste 201
Honolulu
HI 96814-3232
(808) 979-6930
Not Available

Primary Care Clinic Profile

Full NameMakaloa Medical Clinic Corp.
SpecialityNurse Practitioner
Location1670 Makaloa St Ste 201, Honolulu, Hawaii
Authorized Official Name and PositionYun Suk Hong (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact8089796930
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Makaloa Medical Clinic Corp.
1670 Makaloa St Ste 201
Honolulu
HI 96814-3232

Ph: (808) 979-6930
Makaloa Medical Clinic Corp.
1670 Makaloa St Ste 201
Honolulu
HI 96814-3232

Ph: (808) 979-6930

NPI Details:

NPI Number1114799350
Provider Enumeration Date10/23/2023
Last Update Date10/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4183077878
Medicare Enrollment IDO20240130000582

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Medical Identifiers

Medical identifiers for Makaloa Medical Clinic Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114799350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Makaloa Medical Clinic Corp. acts as a billing entity for following providers:
Provider NameYun S Hong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568883189
PECOS PAC ID: 8729203898
Enrollment ID: I20140702002780

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