Dr Tracie Marie Umaki, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Honolulu, Hawaii. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Queens University Medical Group and her current practice location is
438 Hobron Ln, Suite 409, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 258-6872.
Dr Tracie Marie Umaki is licensed to practice in Hawaii (license number 1378) 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 1275871220.
Healthcare Provider's Profile
| Full Name | Dr Tracie Marie Umaki |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 15 Years |
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| Location | 438 Hobron Ln, Honolulu, 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:
- Dr Tracie Marie Umaki graduated from medical school in 2009
NPI Data:
- NPI Number: 1275871220
- Provider Enumeration Date: 01/25/2013
- Last Update Date: 08/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537307608
- Enrollment ID: I20130531000023
Medical Identifiers
Medical identifiers for Dr Tracie Marie Umaki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275871220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 4166 (Arizona) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1378 (Hawaii) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Queens University Medical Group | 2466831557 | 543 |
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. Dr Tracie Marie Umaki allows following entities to bill medicare on her behalf.
| Entity Name | The Queens Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487693586
PECOS PAC ID: 3476454067
Enrollment ID: O20040116000366 |
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| Entity Name | Queens University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891441382
PECOS PAC ID: 2466831557
Enrollment ID: O20220621000534 |
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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. Dr Tracie Marie Umaki 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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Dr Tracie Marie Umaki, PSYD
438 Hobron Ln Ste 415,
Honolulu, HI 96815-1229
Ph: (808) 292-7396 | Dr Tracie Marie Umaki, PSYD
438 Hobron Ln, Suite 409,
Honolulu, HI 96815-1233
Ph: (808) 258-6872 |
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