Dr Kenneth C Pugh, PHD is a medicare enrolled "Audiologist" provider in Ewa Beach, Hawaii. His current practice location is
91-2135 Fort Weaver Rd Fl 3, Ewa Beach, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 691-3352.
Dr Kenneth C Pugh is licensed to practice in Hawaii (license number AUD-88) 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 1477682805.
Healthcare Provider's Profile
| Full Name | Dr Kenneth C Pugh |
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| Gender | Male |
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| Speciality | Audiologist |
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| Location | 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477682805
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 06/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840289690
- Enrollment ID: I20040507000977
Medical Identifiers
Medical identifiers for Dr Kenneth C Pugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477682805 | NPI | - | NPPES |
| 0000245423 | Other | HI | HMSA BILLING NUMBER |
| 55114401 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 80330 (Texas) | Secondary |
| 231H00000X | Audiologist | AUD-88 (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. Dr Kenneth C Pugh allows following entities to bill medicare on his behalf.
| Provider Name | The Queens Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366 |
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| Provider Name | Island Audiology Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811948045
PECOS PAC ID: 5092728386
Enrollment ID: O20060804000103 |
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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. Dr Kenneth C Pugh 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 Address | Practice Location Address |
|---|
Dr Kenneth C Pugh, PHD
91-2135 Fort Weaver Rd Fl 3,
Ewa Beach, HI 96706-1940
Ph: (808) 691-3352 | Dr Kenneth C Pugh, PHD
91-2135 Fort Weaver Rd Fl 3,
Ewa Beach, HI 96706-1940
Ph: (808) 691-3352 |
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