Dr Douglas Jerome Waffen, MD | |
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | |
(808) 433-2460 | |
(808) 433-1558 |
Full Name | Dr Douglas Jerome Waffen |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609858794 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01080608A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 11266 (Hawaii) | Primary |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Jerome Waffen, MD 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 | Dr Douglas Jerome Waffen, MD 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
Ross Graham, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6864 | |
Nathan Kwon, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. Peter Bulkley Woollett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. John Edward Mallon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Juan R Perez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-728-2411 | |
Dr. Mary Kathryn Montgomery, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-5151 |