Dr Jackyline Sanchez Prestosa, MD | |
91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 | |
(808) 691-8200 | |
Not Available |
Full Name | Dr Jackyline Sanchez Prestosa |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003305749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MDR7492 (Hawaii) | Secondary |
207V00000X | Obstetrics & Gynecology | MD-22593 (Hawaii) | Primary |
Entity Name | The Queens Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
Entity Name | Primary Care Physician Enterprise Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164054763 PECOS PAC ID: 0244661338 Enrollment ID: O20200505000681 |
Entity Name | Queens University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackyline Sanchez Prestosa, MD 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 | Dr Jackyline Sanchez Prestosa, MD 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 |
Leticia Garcia Diniega, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 91-2139 Fort Weaver Rd, Ste 201, Ewa Beach, HI 96706 Phone: 808-678-0878 Fax: 808-678-0818 | |
Dr. Richard S Oh, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 91-2139 Fort Weaver Rd Ste 309, Ewa Beach, HI 96706 Phone: 808-677-7793 Fax: 808-677-7868 |