Marisa Mayumi Kim, OD in Honolulu, HI - Medicare Optometrist Provider

Marisa Mayumi Kim, OD is a medicare enrolled "Optometrist" provider in Honolulu, Hawaii. Her current practice location is 1380 Lusitana St Ste 604, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 523-2020.

Marisa Mayumi Kim is licensed to practice in Hawaii (license number 724) 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 1629381512.

Contact Information

	Marisa Mayumi Kim, OD
	1380 Lusitana St Ste 604, Honolulu, HI 96813-2442
	(808) 523-2020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisa Mayumi Kim
Gender	Female
Speciality	Optometrist
Location	1380 Lusitana St Ste 604, Honolulu, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629381512
Provider Enumeration Date: 07/20/2010
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7113041187
Enrollment ID: I20220315000657

Medical Identifiers

Medical identifiers for Marisa Mayumi Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629381512	NPI	-	NPPES
74327755	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13998 (California)	Secondary
152W00000X	Optometrist	724 (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. Marisa Mayumi Kim allows following entities to bill medicare on her behalf.

Provider Name	Gregory W Schmidt Md Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1447436548 PECOS PAC ID: 6800971599 Enrollment ID: O20080305000163

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. Marisa Mayumi Kim 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
Marisa Mayumi Kim, OD 1380 Lusitana St Ste 604, Honolulu, HI 96813-2442 Ph: (808) 523-2020	Marisa Mayumi Kim, OD 1380 Lusitana St Ste 604, Honolulu, HI 96813-2442 Ph: (808) 523-2020

Reviews and Comments

Optometrist in Honolulu, HI

Courtney E. Muraoka, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1010 Pensacola St, Honolulu, HI 96814 Phone: 808-432-2000
Dr. Calvin Alonzo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 405 N Kuakini St, Ste 605, Honolulu, HI 96817 Phone: 808-847-7222
Hawaii Vision Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 405 N Kuakini St, #605, Honolulu, HI 96817 Phone: 808-225-7622
Pearl Harbor Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4725 Bougainville Dr, Honolulu, HI 96818 Phone: 808-422-2210 Fax: 808-422-2262
Kalihi Family Eyecare, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1620 N School St Ste 143, Honolulu, HI 96817 Phone: 808-845-2221
Dirk Vernon Fujii, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1441 Kapiolani Blvd, Suite 805, Honolulu, HI 96814 Phone: 808-946-6136 Fax: 808-943-6236
Dr. Ernest K. Oshiro, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1255 Nuuanu Ave Ste C102, Honolulu, HI 96817 Phone: 808-533-3236 Fax: 808-524-3194

Marisa Mayumi Kim, OD - Medicare Optometrist in Honolulu, HI