Kaitlynn Miyoshi Ebisutani, MD - Medicare Obstetrics & Gynecology in Aiea, HI

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Kaitlynn Miyoshi Ebisutani, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Aiea, Hawaii. Her current practice location is 98-1005 Moanalua Rd Spc 3010, Aiea, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 671-0090.

Kaitlynn Miyoshi Ebisutani is licensed to practice in Hawaii (license number MD-24152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356965347.

Contact Information

Kaitlynn Miyoshi Ebisutani, MD
98-1005 Moanalua Rd Spc 3010,
Aiea, HI 96701-4735
(808) 671-0090
(908) 671-5376

Map and Direction




Physician's Profile

Full NameKaitlynn Miyoshi Ebisutani
GenderFemale
SpecialityObstetrics & Gynecology
Location98-1005 Moanalua Rd Spc 3010, Aiea, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356965347
  • Provider Enumeration Date: 06/04/2020
  • Last Update Date: 06/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577004910
  • Enrollment ID: I20240925001762

Medical Identifiers

Medical identifiers for Kaitlynn Miyoshi Ebisutani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356965347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD-24152 (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. Kaitlynn Miyoshi Ebisutani allows following entities to bill medicare on her behalf.
Entity NameKauai Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376596643
PECOS PAC ID: 5092628479
Enrollment ID: O20031111000540
Entity NameKapiolani Medical Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124071014
PECOS PAC ID: 0648183988
Enrollment ID: O20031111000895
Entity NameKapiolani Medical Center For Women & Children
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548215692
PECOS PAC ID: 9830097914
Enrollment ID: O20031229000149
Entity NameWaianae District Comprehensive Health And Hospital Board, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275566424
PECOS PAC ID: 9931008349
Enrollment ID: O20040105000833
Entity NamePali Momi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275588329
PECOS PAC ID: 6406746916
Enrollment ID: O20040318000395
Entity NameThe Wahiawa Center For Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992176283
PECOS PAC ID: 6608154182
Enrollment ID: O20161108001466

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. Kaitlynn Miyoshi Ebisutani 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
Kaitlynn Miyoshi Ebisutani, MD
1319 Punahou St # 824,
Honolulu, HI 96826-1080

Ph: () -		Kaitlynn Miyoshi Ebisutani, MD
98-1005 Moanalua Rd Spc 3010,
Aiea, HI 96701-4735

Ph: (808) 671-0090

Reviews and Comments


Obstetrics & Gynecology Doctors in Aiea, HI

Terecia Lee, DNP, CNM, APRN
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 98-1079 Moanalua Rd Ste 560, Aiea, HI 96701
Phone: 808-487-0078    
Jan Toyoko Fujita, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 99-128 Aiea Heights Dr Ste 403, Aiea, HI 96701
Phone: 808-487-8880    Fax: 808-487-8283
Dr. Ronald Isami Ayabe, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 98 1079 Moanalua Rd, Ste 560, Aiea, HI 96701
Phone: 808-487-0078    Fax: 808-487-2853
Shannon Chang Eaton, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 99128 Aiea Hgts Dr, #304, Aiea, HI 96701
Phone: 808-487-0086    Fax: 808-486-6894
George Shimomura, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 99 128 Aiea Heights Drive, Suite 504, Aiea, HI 96701
Phone: 808-487-2497    Fax: 808-487-2494
Gregg Atsushi Shimomura, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 99 128 Aiea Heights Drive, Suite 504, Aiea, HI 96701
Phone: 808-487-2497    Fax: 808-487-2494

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.