Kellie A Fukumura, PA-C - Physician Assistant in Apo, WA

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Kellie A Fukumura, PA-C is a Physician Assistant based in Apo, Washington. Kellie A Fukumura is licensed to practice in Hawaii (license number AMD 160) and her current practice location is 35th Medical Group, Misawa Air Base, Apo, Washington. She can be reached at her office (for appointments etc.) via phone at (808) 779-1513.

NPI number for Kellie A Fukumura is 1750364626 and her current mailing address is 277 Ohua Ave, Honolulu, Hawaii. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750364626.

Contact Information

Kellie A Fukumura, PA-C
35th Medical Group, Misawa Air Base,
Apo, WA 96319
(808) 779-1513
Not Available

Map and Direction




Provider's Profile

Full NameKellie A Fukumura
GenderFemale
SpecialityPhysician Assistant
Location35th Medical Group, Apo, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750364626
  • Provider Enumeration Date: 11/23/2005
  • Last Update Date: 07/23/2025

Medical Identifiers

Medical identifiers for Kellie A Fukumura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750364626NPI-NPPES
00A0251122OtherHIHMSA
497603-01OtherHIALOHA CARE
497603-01MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant AMD-160 (Hawaii)Secondary
363A00000XPhysician Assistant AMD 160 (Hawaii)Primary

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. Kellie A Fukumura is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kellie A Fukumura, PA-C
277 Ohua Ave,
Honolulu, HI 96815-3643

Ph: (808) 922-4787		Kellie A Fukumura, PA-C
35th Medical Group, Misawa Air Base,
Apo, WA 96319

Ph: (808) 779-1513

Reviews and Comments


Physician Assistant Nurses in Apo, WA

Mr. David Lee Mohler, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Bldg 3030, Apo, WA 96297
Phone: 253-968-0432    

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.