Ms Melissa A Hogan, MSCP | |
210 Ward Ave, Suite 219b, Honolulu, HI 96814-4008 | |
(808) 585-1424 | |
(808) 585-0379 |
Full Name | Ms Melissa A Hogan |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 210 Ward Ave, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922444843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Hawaii) | Primary |
Entity Name | Pacific Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922415280 PECOS PAC ID: 1557714029 Enrollment ID: O20240131003458 |
Mailing Address | Practice Location Address |
---|---|
Ms Melissa A Hogan, MSCP 91-1210 Kaileolea Dr, 2l2, Ewa Beach, HI 96706-6241 Ph: (808) 372-1952 | Ms Melissa A Hogan, MSCP 210 Ward Ave, Suite 219b, Honolulu, HI 96814-4008 Ph: (808) 585-1424 |
Sabrina Phelps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829 | |
Heather Beecher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St, Suite 203, Honolulu, HI 96814 Phone: 808-589-1829 Fax: 808-589-2610 | |
Shanna Frye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., #203, Honolulu, HI 96814 Phone: 808-589-1829 | |
Charles Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Waimanu St Ste 624, Honolulu, HI 96813 Phone: 808-791-6713 | |
Mr. Randy J. Jensen, MSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St., Honolulu, HI 96813 Phone: 808-223-3875 | |
Jumanne Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., Honolulu, HI 96814 Phone: 808-589-1829 | |
Rachel Power, Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829 |