Dr Eric William Wortmann, MD is a medicare enrolled "Emergency Medicine" physician in Kalaheo, Hawaii. His current practice location is
3994 Pai St, Kalaheo, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 332-6314.
Dr Eric William Wortmann is licensed to practice in Hawaii (license number 8883) 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 1457465577.
Physician's Profile
| Full Name | Dr Eric William Wortmann |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 3994 Pai St, Kalaheo, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457465577
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 08/13/2011
Medicare PECOS Information:
- PECOS PAC ID: 0547154528
- Enrollment ID: I20040211000062
Medical Identifiers
Medical identifiers for Dr Eric William Wortmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457465577 | NPI | - | NPPES |
| 04482401 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 8883 (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 Eric William Wortmann allows following entities to bill medicare on his behalf.
| Entity Name | Samuel Mahelona Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346419553
PECOS PAC ID: 1759271216
Enrollment ID: O20040318000116 |
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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 Eric William Wortmann 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 Eric William Wortmann, MD
3994 Pai St,
Kalaheo, HI 96741-9592
Ph: (808) 332-6314 | Dr Eric William Wortmann, MD
3994 Pai St,
Kalaheo, HI 96741-9592
Ph: (808) 332-6314 |
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