Dr Traci T Masaki Tesoro, MD - Medicare Family Practice in Honolulu, HI

Dr Traci T Masaki Tesoro, MD is a medicare enrolled "Family Medicine" physician in Honolulu, Hawaii. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Queens University Medical Group and her current practice location is 1401 S Beretania St Ste 500, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 988-8700.

Dr Traci T Masaki Tesoro is licensed to practice in Hawaii (license number MD-13989) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487782736.

Contact Information

Dr Traci T Masaki Tesoro, MD
1401 S Beretania St Ste 500,
Honolulu, HI 96814-1873
(808) 988-8700
(808) 888-3871

Map and Direction




Physician's Profile

Full NameDr Traci T Masaki Tesoro
GenderFemale
SpecialityFamily Practice
Experience20 Years
Location1401 S Beretania St Ste 500, Honolulu, Hawaii
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Traci T Masaki Tesoro attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1487782736
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 09/03/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4284725383
  • Enrollment ID: I20070803000127

Medical Identifiers

Medical identifiers for Dr Traci T Masaki Tesoro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487782736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD-13989 (Hawaii)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Queens Medical CenterHonolulu, HIHospital
Kapiolani Medical Center For Women & ChildrenHonolulu, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Queens University Medical Group2466831557543

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 Traci T Masaki Tesoro allows following entities to bill medicare on her behalf.
Entity NameThe Queens Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366
Entity NameQueens University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534

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 Traci T Masaki Tesoro 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 Traci T Masaki Tesoro, MD
1401 S Beretania St Ste 500,
Honolulu, HI 96814-1873

Ph: (808) 988-8700
Dr Traci T Masaki Tesoro, MD
1401 S Beretania St Ste 500,
Honolulu, HI 96814-1873

Ph: (808) 988-8700

Reviews and Comments


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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.

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