Dr Damien Kekaneinoa Tavares Iii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Honolulu, Hawaii. His current practice location is
2226 Liliha Street, Suite 407, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 445-9172.
Dr Damien Kekaneinoa Tavares Iii is licensed to practice in Hawaii (license number MD15987) 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 1194921619.
Physician's Profile
| Full Name | Dr Damien Kekaneinoa Tavares Iii |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2226 Liliha Street, Honolulu, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194921619
- Provider Enumeration Date: 06/22/2007
- Last Update Date: 07/27/2015
Medicare PECOS Information:
- PECOS PAC ID: 5698916799
- Enrollment ID: I20130801000753
Medical Identifiers
Medical identifiers for Dr Damien Kekaneinoa Tavares Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194921619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD15987 (Hawaii) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD15987 (Hawaii) | Secondary |
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 Damien Kekaneinoa Tavares Iii allows following entities to bill medicare on his behalf.
| Entity Name | Damien Tavares Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598106247 PECOS PAC ID: 4789825886 Enrollment ID: O20130801000640 |
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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 Damien Kekaneinoa Tavares Iii 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 Damien Kekaneinoa Tavares Iii, MD 2226 Liliha Street, Suite 407, Honolulu, HI 96817-1600 Ph: (808) 445-9172 | Dr Damien Kekaneinoa Tavares Iii, MD 2226 Liliha Street, Suite 407, Honolulu, HI 96817-1600 Ph: (808) 445-9172 |
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