Dr Michael Patrick Mouri, MD, DDS is a medicare enrolled "Emergency Medicine" provider in Honolulu, Hawaii. He went to University Of Texas Medical Branch At Galveston and graduated in 1989 and has 37 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southeastern Emergency Physicians Llc and his current practice location is
1744 Liliha St, Suite 207, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 536-6073.
Dr Michael Patrick Mouri is licensed to practice in Alabama (license number 18734) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346457116.
Healthcare Provider's Profile
| Full Name | Dr Michael Patrick Mouri |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 37 Years |
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| Location | 1744 Liliha St, Honolulu, Hawaii |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Patrick Mouri attended and graduated from University Of Texas Medical Branch At Galveston in 1989
NPI Data:
- NPI Number: 1346457116
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 05/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 6103060348
- Enrollment ID: I20240304003596
Medical Identifiers
Medical identifiers for Dr Michael Patrick Mouri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346457116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 18734 (Alabama) | Secondary |
| 122300000X | Dentist | M8095 (Hawaii) | Secondary |
| 171000000X | Military Health Care Provider | 18734 (Alabama) | Secondary |
| 171100000X | Acupuncturist | 18734 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | M8095 (Hawaii) | Secondary |
| 207Q00000X | Family Medicine | 18734 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | M8095 (Hawaii) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | M8095 (Hawaii) | Secondary |
| 209800000X | Legal Medicine | 18734 (Alabama) | Secondary |
| 207P00000X | Emergency Medicine | 18734 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
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 Michael Patrick Mouri allows following entities to bill medicare on his behalf.
| Entity Name | Southeastern Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285 |
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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 Michael Patrick Mouri 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 Michael Patrick Mouri, MD, DDS
1744 Liliha St Ste 207,
Honolulu, HI 96817-3115
Ph: (469) 585-1455 | Dr Michael Patrick Mouri, MD, DDS
1744 Liliha St, Suite 207,
Honolulu, HI 96817-3115
Ph: (808) 536-6073 |
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