Dr David Deland Gregorius, DO | |
4643 Waimea Canyon Drive, Waimea, HI 96796 | |
(602) 999-5800 | |
Not Available |
Full Name | Dr David Deland Gregorius |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 4643 Waimea Canyon Drive, Waimea, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548473465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A9897 (California) | Secondary |
207P00000X | Emergency Medicine | DOS-1301 (Hawaii) | Primary |
Entity Name | Kauai Medical Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
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Dr David Deland Gregorius, DO 4643 Waimea Canyon Drive, Po Box 337, Waimea, HI 96796 Ph: (602) 999-5800 | Dr David Deland Gregorius, DO 4643 Waimea Canyon Drive, Waimea, HI 96796 Ph: (602) 999-5800 |
Eliot A. Demello, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4643 Waimea Canyon Rd, Waimea, HI 96796 Phone: 904-805-1300 Fax: 904-805-1302 | |
Brian Tobe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4643 Waimea Canyon Road, Waimea, HI 96796 Phone: 904-805-1300 Fax: 904-805-1302 | |
Kevin Guyton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4643 Waimea Canyon Drive, Waimea, HI 96796 Phone: 808-338-9431 |