Nikasio Koroi, BDS | |
11155 Turner Drive, Pago Pago, AS 96799-0010 | |
(684) 633-1222 | |
(684) 633-1869 |
Full Name | Nikasio Koroi |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 11155 Turner Drive, Pago Pago, American Samoa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891434270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4041C (American Samoa) | Primary |
Entity Name | American Samoa Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
Mailing Address | Practice Location Address |
---|---|
Nikasio Koroi, BDS Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Nikasio Koroi, BDS 11155 Turner Drive, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 |
Toko Sipelii, B.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7014 Ottoville Road, Island Smiles, Tafuna Village, Pago Pago, AS 96799 Phone: 684-733-0073 | |
Dr. Priyashna Prishika Chand, BDS Dentist Medicare: Medicare Enrolled Practice Location: 1 Paul Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1839 | |
Dr. Talifa J Talifa Jr., BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3965 Tafuna Petesa Road, Pago Pago, AS 96799 Phone: 684-699-6380 Fax: 684-699-6374 | |
Lumepa Matatia-kuki, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Inoke Tutanekai Siasau, BDS Dentist Medicare: Not Enrolled in Medicare Practice Location: First Street Fagaalu, Pago Pago, AS 96799 Phone: 684-699-6380 Fax: 684-699-6374 | |
Noreen Takubala, BDS Dentist Medicare: Medicare Enrolled Practice Location: 11155 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Hansel Ma. G. Villarica, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: First Street Fagaalu, Petesa Road, Pago Pago, AS 96799 Phone: 684-699-6380 Fax: 684-699-6374 |