Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD in Tripler Army Medical Center, HI

Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD is a medicare enrolled "Social Worker - Clinical" provider in Tripler Army Medical Center, Hawaii. Her current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 433-6661.

Mrs Kori Kanoelani Kiesel-weatherford is licensed to practice in Hawaii (license number LCSW3432) 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 1275706624.

Contact Information

	Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD
	1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
	(808) 433-6661
	(808) 433-1551

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kori Kanoelani Kiesel-weatherford
Gender	Female
Speciality	Social Worker - Clinical
Location	1 Jarrett White Rd, Tripler Army Medical Center, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275706624
Provider Enumeration Date: 04/08/2008
Last Update Date: 07/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5597286112
Enrollment ID: I20250311002389

Medical Identifiers

Medical identifiers for Mrs Kori Kanoelani Kiesel-weatherford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275706624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW3432 (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. Mrs Kori Kanoelani Kiesel-weatherford allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230120000933

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. Mrs Kori Kanoelani Kiesel-weatherford 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
Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-6661	Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-6661

Reviews and Comments

Social Worker in Tripler Army Medical Center, HI

Mary Lucia Garvin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6661
Amber M Ghastin, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 088-433-6060
Ms. Alyssa Foster, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-8579
Idris Usman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-9044
Michael Gatti, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-0326 Fax: 808-433-0321
Mr. Kevin G Saito, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-1264
Shannon Yogi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-8161

Mrs Kori Kanoelani Kiesel-weatherford, LCSW, DCSW, BCD - Medicare Clinical Social Worker in Tripler Army Medical Center, HI