Mrs Carol Ann Iadeluca-myrianthis, PT, PSYD is a medicare enrolled "Physical Therapist" provider in Pahoa, Hawaii. She graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Kinesis Hawaii Inc. and her current practice location is
15-2866 Government Main Road, Pahoa Village Center, Pahoa, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 965-0880.
Mrs Carol Ann Iadeluca-myrianthis is licensed to practice in Hawaii (license number 474) 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 1477565745.
Healthcare Provider's Profile
| Full Name | Mrs Carol Ann Iadeluca-myrianthis |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 49 Years |
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| Location | 15-2866 Government Main Road, Pahoa, Hawaii |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Carol Ann Iadeluca-myrianthis graduated from medical school in 1975
NPI Data:
- NPI Number: 1477565745
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 05/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 5991984619
- Enrollment ID: I20120809000684
Medical Identifiers
Medical identifiers for Mrs Carol Ann Iadeluca-myrianthis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477565745 | NPI | - | NPPES |
| A19867 | Other | HI | HMSA KA'U |
| D19861 | Other | HI | HMSA PAHOA |
| 01853401 | Medicaid | HI | |
| 01853402 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 474 (Hawaii) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kinesis Hawaii Inc. | 4880677558 | 2 |
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. Mrs Carol Ann Iadeluca-myrianthis allows following entities to bill medicare on her behalf.
| Provider Name | Kinesis Hawaii Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831371830
PECOS PAC ID: 4880677558
Enrollment ID: O20040611001423 |
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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. Mrs Carol Ann Iadeluca-myrianthis 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 |
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Mrs Carol Ann Iadeluca-myrianthis, PT, PSYD
339 Alawaena St,
Hilo, HI 96720-3506
Ph: (808) 959-0877 | Mrs Carol Ann Iadeluca-myrianthis, PT, PSYD
15-2866 Government Main Road, Pahoa Village Center,
Pahoa, HI 96778
Ph: (808) 965-0880 |
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