Anita M Pedersen, MD | |
1 Jarrett White Rd, Department Of Pediatrics, Mchk-pe, Tripler Army Medical Center, HI 96859 | |
(808) 433-6407 | |
(808) 433-4837 |
Full Name | Anita M Pedersen |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710947965 | NPI | - | NPPES |
MD-16097 | Other | HI | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD-16097 (Hawaii) | Secondary |
2080P0205X | Pediatrics - Pediatric Endocrinology | MD-16097 (Hawaii) | Primary |
Entity Name | Hawaii Permanente Medical Group Inc |
---|---|
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 |
---|---|
Anita M Pedersen, MD 22 S Kainalu Dr, Kailua, HI 96734-2722 Ph: () - | Anita M Pedersen, MD 1 Jarrett White Rd, Department Of Pediatrics, Mchk-pe, Tripler Army Medical Center, HI 96859 Ph: (808) 433-6407 |
Claire Patricia Witmer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-1252 | |
Dr. Robert Jonathan Mccully, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-6345 | |
Corinne Harvey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 Phone: 703-732-4360 | |
Dr. Susan Mikami, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd # Mchk-bh, Tripler Army Medical Center, HI 96859 Phone: 808-433-6418 | |
Dr. Christopher Naun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 801-712-1880 | |
Mason Paul Mcmullin, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-1252 | |
Dr. Eamon L Filan, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5000 |