Ms Kelly Ann Fumie Park, DPT in Honolulu, HI - Medicare Physical Therapy Provider

Ms Kelly Ann Fumie Park, DPT is a medicare enrolled "Physical Therapist" provider in Honolulu, Hawaii. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Park Physical Therapy, Llc and her current practice location is 850 W Hind Dr, Suite 104 And 108, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 373-4787.

Ms Kelly Ann Fumie Park is licensed to practice in Hawaii (license number 2475) 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 1073686630.

Contact Information

	Ms Kelly Ann Fumie Park, DPT
	850 W Hind Dr, Suite 104 And 108, Honolulu, HI 96821-1855
	(808) 373-4787
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kelly Ann Fumie Park
Gender	Female
Speciality	Physical Therapy
Experience	21 Years
Location	850 W Hind Dr, Honolulu, Hawaii
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kelly Ann Fumie Park graduated from medical school in 2003

NPI Data:

NPI Number: 1073686630
Provider Enumeration Date: 11/15/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 8426955188
Enrollment ID: I20050712000260

Medical Identifiers

Medical identifiers for Ms Kelly Ann Fumie Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073686630	NPI	-	NPPES
0000255364	Other	HI	HMSA QUEST PROV. NUMBER
0000255364	Other	HI	HMSA PROVIDER NUMBER
2695487	Other	HI	UNIVERSITY HEALTH ALLIANC
57436001	Medicaid	HI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2475 (Hawaii)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Physical Therapy, Llc	8628404605	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. Ms Kelly Ann Fumie Park allows following entities to bill medicare on her behalf.

Provider Name	Park Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1154962660 PECOS PAC ID: 8628404605 Enrollment ID: O20200211001956

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. Ms Kelly Ann Fumie Park 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
Ms Kelly Ann Fumie Park, DPT 850 W Hind Dr, Suite 104 And 108, Honolulu, HI 96821-1855 Ph: (808) 373-4787	Ms Kelly Ann Fumie Park, DPT 850 W Hind Dr, Suite 104 And 108, Honolulu, HI 96821-1855 Ph: (808) 373-4787

Reviews and Comments

Physical Therapist in Honolulu, HI

Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000

Ms Kelly Ann Fumie Park, DPT - Medicare Physical Therapist in Honolulu, HI