Dr Jeffrey R Tolan, MD - Medicare Family Medicine in Kamuela, HI

Dr Jeffrey R Tolan, MD is a medicare enrolled "Family Medicine" physician in Kamuela, Hawaii. His current practice location is 67-1185 Mamalahoa Hwy, Kamuela, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 881-4500.

Dr Jeffrey R Tolan is licensed to practice in Hawaii (license number MD-13422) 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 1245339639.

Contact Information

Dr Jeffrey R Tolan, MD
67-1185 Mamalahoa Hwy,
Kamuela, HI 96743-7304
(808) 881-4500
Not Available

Map and Direction




Physician's Profile

Full NameDr Jeffrey R Tolan
GenderMale
SpecialityFamily Medicine
Location67-1185 Mamalahoa Hwy, Kamuela, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245339639
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 10/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587636741
  • Enrollment ID: I20050928000401

Medical Identifiers

Medical identifiers for Dr Jeffrey R Tolan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245339639NPI-NPPES
572835-03MedicaidHI
0000254938OtherHIHMSA BILLING NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD-13422 (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 Jeffrey R Tolan allows following entities to bill medicare on his behalf.
Entity NameHawaii Permanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625

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 Jeffrey R Tolan 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 Jeffrey R Tolan, MD
67-1185 Mamalahoa Hwy,
Kamuela, HI 96743-7304

Ph: (808) 881-4500
Dr Jeffrey R Tolan, MD
67-1185 Mamalahoa Hwy,
Kamuela, HI 96743-7304

Ph: (808) 881-4500

Reviews and Comments


Family Medicine Doctors in Kamuela, HI

Dr. Jed A Groom, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 64-1066 Mamalahoa Hwy Unit B, Kamuela, HI 96743
Phone: 808-885-6006    Fax: 808-885-0906
Brittney H. Spivak, D.O
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 67-1125 Mamalahoa Hwy, Kamuela, HI 96743
Phone: 808-881-4730    
Ka'ohimanu L.k.d. Akiona, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 62-100 Kaunaoa Dr, Kamuela, HI 96743
Phone: 808-880-3211    Fax: 434-302-9654
Dr. Jenifer P. Aaronson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 64-1032 Mamalahoa Hwy Ste 306, Kamuela, HI 96743
Phone: 808-769-5010    
Dr. Noel Ming Chia, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 65-1267 Kawaihae Rd, Kamuela, HI 96743
Phone: 808-881-4745    
Melissa S Gosland, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 67-1185 Mamalahoa Hwy, Kamuela, HI 96743
Phone: 808-881-4500    
Dr. John Michael Kurap, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 61-3642 Kawaihae Rd, Kamuela, HI 96743
Phone: 808-882-1188    Fax: 808-882-1288

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.