Dr Justin James Petersen, DC - Medicare Chiropractor in Kapolei, HI

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Dr Justin James Petersen, DC is a medicare enrolled "Chiropractor" provider in Kapolei, Hawaii. His current practice location is 2176 Lauwiliwili St Ste 5a, Kapolei, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 425-7092.

Dr Justin James Petersen is licensed to practice in Hawaii (license number DC1401) 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 1245213008.

Contact Information

Dr Justin James Petersen, DC
2176 Lauwiliwili St Ste 5a,
Kapolei, HI 96707-1882
(808) 425-7092
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Justin James Petersen
GenderMale
SpecialityChiropractor
Location2176 Lauwiliwili St Ste 5a, Kapolei, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245213008
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 06/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3779594791
  • Enrollment ID: I20080829000226

Medical Identifiers

Medical identifiers for Dr Justin James Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245213008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 413 (Alaska)Secondary
111N00000XChiropractor CHIA-1344 (Idaho)Secondary
111N00000XChiropractor 7633 (Arizona)Secondary
111N00000XChiropractor DC1401 (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 Justin James Petersen allows following entities to bill medicare on his behalf.
Provider NameArctic Chiropractic Bethel Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1467582585
PECOS PAC ID: 4880971795
Enrollment ID: O20170502002093

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 Justin James Petersen 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
Dr Justin James Petersen, DC
7007 Hawaii Kai Dr Apt C23,
Honolulu, HI 96825-3139

Ph: (808) 426-8827		Dr Justin James Petersen, DC
2176 Lauwiliwili St Ste 5a,
Kapolei, HI 96707-1882

Ph: (808) 425-7092

Reviews and Comments


Chiropractor in Kapolei, HI

Dr. Ernest A. K. Wright, D.C.
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 91-1026 Halana St, Kapolei, HI 96707
Phone: 808-691-9686    
Jaewon Jang,
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 338 Kamokila Blvd Ste 207, Kapolei, HI 96707
Phone: 808-321-1540    
Dr. Russell L Young,
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 579 Farrington Hwy, Suite 202, Kapolei, HI 96707
Phone: 808-674-0090    Fax: 808-674-0061
Cornerstone Family Chiropractic Inc
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 338 Kamokila Blvd Ste 207, Kapolei, HI 96707
Phone: 808-321-1540    
Adalie Schmidt,
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 2176 Lauwiliwili St Ste 5a, Kapolei, HI 96707
Phone: 808-425-7092    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.