Andrew R Fong, MD | |
74-517 Honokohau St, Kailua Kona, HI 96740-2715 | |
(808) 334-4400 | |
Not Available |
Full Name | Andrew R Fong |
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Gender | Male |
Speciality | Pediatrics |
Location | 74-517 Honokohau St, Kailua Kona, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982759064 | NPI | - | NPPES |
088197-01 | Medicaid | HI | |
0000215194 | Other | HI | HMSA BILLING NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-10156 (Hawaii) | Primary |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Mailing Address | Practice Location Address |
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Andrew R Fong, MD 74-517 Honokohau St, Kailua Kona, HI 96740-2715 Ph: (808) 334-4400 | Andrew R Fong, MD 74-517 Honokohau St, Kailua Kona, HI 96740-2715 Ph: (808) 334-4400 |
Dr. Craig Stevenson, PHD, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 74-5214 Keanalehu Dr, Kailua Kona, HI 96740 Phone: 808-355-5600 | |
Peter Joseph Locatelli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77-6447 Kuakini Hwy, Kailua Kona, HI 96740 Phone: 808-329-8005 Fax: 808-329-8007 | |
Dr. Virginia Burford Hatch-pigott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 76-6225 Kuakini Hwy Ste C101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 | |
Marta L Derieg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy, Ste C101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 | |
Dr. Wesley Jitsuo Sugai, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 78-6831 Alii Dr Ste 328, Kailua Kona, HI 96740 Phone: 808-329-7719 Fax: 808-329-7518 | |
Robert H Laird, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy, Ste C-101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 |