| Derek I Mito, MD | |
|
599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 | |
| (808) 674-9500 | |
| Not Available |
| Full Name | Derek I Mito |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 599 Farrington Hwy Ste 201, Kapolei, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558335042 | NPI | - | NPPES |
| 002016769 | Medicaid | NV | |
| 11041229 | Other | CAQH | |
| 80173665 | Other | NV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9932 (Nevada) | Secondary |
| 207Q00000X | Family Medicine | MD-20577 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Queens Medical Center | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Queens University Medical Group | 2466831557 | 574 |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Entity Name | Queens Development Corporation & Subsidiaries |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679768352 PECOS PAC ID: 7810912292 Enrollment ID: O20071030000445 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek I Mito, MD 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 Ph: (808) 674-9500 | Derek I Mito, MD 599 Farrington Hwy Ste 201, Kapolei, HI 96707-2028 Ph: (808) 674-9500 |
Dr. James R Best, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 599 Farrington Hwy, Kapolei, HI 96707 Phone: 808-432-3600 | |
Emily N. Sumner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Kamokila Blvd, Kapolei, HI 96707 Phone: 808-432-3600 | |
Janette M. Brunken, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Kamokila Blvd, Kapolei, HI 96707 Phone: 808-432-3600 | |
Ashley Kong Brimley, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 599 Farrington Hwy Ste 100, Kapolei, HI 96707 Phone: 808-697-3800 Fax: 808-674-9741 | |
Elsa K. Tsutaoka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Kamokila Blvd, Kapolei, HI 96707 Phone: 808-432-3600 | |
Jessica A. Ono, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Kamokila Blvd, Kapolei, HI 96707 Phone: 808-432-3600 | |
Akolea K Santos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Kamokila Blvd, Kapolei, HI 96707 Phone: 808-432-3600 |