Derek R Illastron, MD | |
110 E Kaahumanu Ave, Kahului, HI 96732-2118 | |
(808) 242-6464 | |
(808) 243-2367 |
Full Name | Derek R Illastron |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 20 Years |
Location | 110 E Kaahumanu Ave, Kahului, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790949956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 235414 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | MD-18353 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maui Memorial Medical Center | Wailuku, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hawaii Permanente Medical Group Inc | 7618880667 | 578 |
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 |
Entity Name | Maui Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215963970 PECOS PAC ID: 7214823368 Enrollment ID: O20040225000575 |
Mailing Address | Practice Location Address |
---|---|
Derek R Illastron, MD 2180 Main St, Wailuku, HI 96793-1625 Ph: (808) 242-6464 | Derek R Illastron, MD 110 E Kaahumanu Ave, Kahului, HI 96732-2118 Ph: (808) 242-6464 |
James E Muto, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 89 Hookele St, #103, Kahului, HI 96732 Phone: 808-871-8878 Fax: 808-871-8867 | |
Roy M Matsuyama, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 Hoohana St, Suite 104, Kahului, HI 96732 Phone: 808-871-7222 Fax: 808-871-2222 | |
Mr. Reginald Glenn Buesa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 53 S Puunene Ave, Kahului, HI 96732 Phone: 808-877-6020 Fax: 808-873-0617 | |
Dr. Abdiel M Angeles, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 43 Kamehameha Avenue, Kahului, HI 96732 Phone: 808-871-7728 Fax: 808-871-7729 | |
Gerard F. Livaudais, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 39 W Kamehameha Ave, Kahului, HI 96732 Phone: 808-877-2424 | |
Dr. Joanne Godley, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 39 W Kamehameha Ave, Suite B, Kahului, HI 96732 Phone: 808-877-2424 Fax: 808-877-6464 | |
Ryan Fusato, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 E Kaahumanu Ave, Kahului, HI 96732 Phone: 808-242-6464 Fax: 808-243-2367 |