Dr James F Raelson, MD - Medicare Pediatrics in Kalaheo, HI

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Dr James F Raelson, MD is a medicare enrolled "Pediatrics" physician in Kalaheo, Hawaii. His current practice location is 2469 Puu Rd Ste C, Kalaheo, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 353-3953.

Dr James F Raelson is licensed to practice in Hawaii (license number MD-13598) 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 1033286281.

Contact Information

Dr James F Raelson, MD
2469 Puu Rd Ste C,
Kalaheo, HI 96741-8509
(808) 353-3953
(808) 353-3941

Map and Direction




Physician's Profile

Full NameDr James F Raelson
GenderMale
SpecialityPediatrics
Location2469 Puu Rd Ste C, Kalaheo, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033286281
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 06/24/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6800971698
  • Enrollment ID: I20080304000216

Medical Identifiers

Medical identifiers for Dr James F Raelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033286281NPI-NPPES
0000257097OtherHMSA
MD13598OtherMDX
57943500OtherQUEST ALOHACARE
6653402OtherUHA
H58169OtherKAISER
0000257097OtherBCBS
0000257097OtherTRICARE
0000257097OtherQUEST HMSA
99-0262194OtherHMAA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD-13598 (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 James F Raelson allows following entities to bill medicare on his behalf.
Entity NameQueens North Hawaii Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528049814
PECOS PAC ID: 0143116293
Enrollment ID: O20040225000562
Entity NameHilo Benioff Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962584060
PECOS PAC ID: 1254422900
Enrollment ID: O20070809000268

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 James F Raelson 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 AddressPractice Location Address
Dr James F Raelson, MD
Po Box 929,
Kalaheo, HI 96741-0929

Ph: (808) 353-3953		Dr James F Raelson, MD
2469 Puu Rd Ste C,
Kalaheo, HI 96741-8509

Ph: (808) 353-3953

Reviews and Comments


Pediatrics Doctors in Kalaheo, HI

Erin Paige Carrington, PAC
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2469 Puu Rd Ste C, Kalaheo, HI 96741
Phone: 808-652-0048    Fax: 808-378-4558
Dr. Linda J. Weiner, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4489 Papalina Rd, Kalaheo, HI 96741
Phone: 808-332-8523    Fax: 808-332-7050

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.