Pacific Medical Group Llc is a
Clinical Nurse Specialist - Adult Health based in Kahului, Hawaii. Pacific Medical Group Llc is licensed to practice in Hawaii (license number RN24680) and their current practice location is
95 Lono Ave Ste 105, Kahului, Hawaii. It can be reached at their office (for appointments etc.) via phone at
(808) 873-0733.
NPI number for Pacific Medical Group Llc is 1811353998 and their current mailing address is Po Box 1140, Makawao, Hawaii. Pacific Medical Group Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811353998.
Healthcare Provider's Profile
Full Name | Pacific Medical Group Llc |
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Type | Facility |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 95 Lono Ave Ste 105, Kahului, Hawaii |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811353998
- Provider Enumeration Date: 01/05/2016
- Last Update Date: 01/05/2016
Medical Identifiers
Medical identifiers for Pacific Medical Group Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811353998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NX0100X | Chiropractor - Occupational Health | DC-726 (Hawaii) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | RN24680 (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. Pacific Medical Group Llc 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 Address | Practice Location Address |
Pacific Medical Group Llc Po Box 1140, Makawao, HI 96768-1140 Ph: (808) 873-0733 | Pacific Medical Group Llc 95 Lono Ave Ste 105, Kahului, HI 96732-1610 Ph: (808) 873-0733 |
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