Eddie R Island, MD is a medicare enrolled "Transplant Surgery" physician in Kansas City, Missouri. His current practice location is
4320 Wornall Rd, Suite 240, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(816) 932-4655.
Eddie R Island is licensed to practice in Missouri (license number 2016022749) 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 1578517389.
Physician's Profile
| Full Name | Eddie R Island |
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| Gender | Male |
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| Speciality | Transplant Surgery |
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| Location | 4320 Wornall Rd, Kansas City, Missouri |
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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: 1578517389
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 11/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 7618980574
- Enrollment ID: I20160711000897
Medical Identifiers
Medical identifiers for Eddie R Island such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578517389 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | ME95769 (Florida) | Secondary |
| 208600000X | Surgery | 2016022749 (Missouri) | Secondary |
| 204F00000X | Transplant Surgery | 2016022749 (Missouri) | 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. Eddie R Island allows following entities to bill medicare on his behalf.
| Entity Name | Saint Lukes Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
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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. Eddie R Island 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 |
Eddie R Island, MD 901 E 104th St, Mailstop 400, Kansas City, MO 64131-4517 Ph: (816) 502-8755 | Eddie R Island, MD 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 Ph: (816) 932-4655 |
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