Dr Amanda Rae Holloway, MD | |
1 Lower Navy Hill Road, Saipan, MP 96950 | |
(670) 234-8950 | |
Not Available |
Full Name | Dr Amanda Rae Holloway |
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Gender | Female |
Speciality | Pediatrics |
Location | 1 Lower Navy Hill Road, Saipan, Northern Mariana Islands |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053847855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0685 (Northern Mariana Islands) | Secondary |
208000000X | Pediatrics | R76141 (Arizona) | Primary |
Entity Name | Commonwealth Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
Mailing Address | Practice Location Address |
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Dr Amanda Rae Holloway, MD Po Box 500409, Saipan, MP 96950-0409 Ph: (670) 234-8950 | Dr Amanda Rae Holloway, MD 1 Lower Navy Hill Road, Saipan, MP 96950 Ph: (670) 234-8950 |
Mary Elizabeth Coronel Hernandez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500409 Chalan Kanoa, Commonwealth Health Center, Saipan, MP 96950 Phone: 670-234-8950 Fax: 670-234-8700 | |
Ms. Nedka Mandoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Lower Mary Hill Road, Commonwealth Health Center, Saipan, MP 96950 Phone: 670-234-8950 Fax: 670-236-8600 | |
Ms. Leticia Pangelinan Borja, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Lower Navy Hill, Commonwealth Health Center, Saipan, MP 96950 Phone: 670-234-8950 Fax: 670-236-8600 | |
Tuyet Thi Nguyen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Commonwealth Health Center Saipan Mp 96950, 1 Lower Mary Hill Road, Saipan, MP 96950 Phone: 670-234-8950 |