David M Bacchus, MD | |
55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | |
(808) 243-6050 | |
Not Available |
Full Name | David M Bacchus |
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Gender | Male |
Speciality | Pediatrics |
Location | 55 Maui Lani Pkwy, Wailuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134207905 | NPI | - | NPPES |
00A603670 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | A60367 (California) | 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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David M Bacchus, MD 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 243-6050 | David M Bacchus, MD 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 243-6050 |
Maria A. Matijasevic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Douglas J Gamet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6125 Fax: 808-243-6134 | |
Dr. Garry Cameron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4031 | |
Dr. David M. Ulin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Christina Efthimiadis Seeley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-793-8009 | |
Dr. Roxanne Bhattacharya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2385 |