Dr Jerald R Scott, MD | |
91-3633 Kauluakoko Unit 406, Ewa Beach, HI 96706-5867 | |
(907) 775-6780 | |
(808) 312-4582 |
Full Name | Dr Jerald R Scott |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 91-3633 Kauluakoko Unit 406, 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 |
---|---|---|---|
1902872625 | NPI | - | NPPES |
MD47212 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | 4721 (Alaska) | Secondary |
207Q00000X | Family Medicine | MD-15012 (Hawaii) | Primary |
Entity Name | Midnight Sun Genl Medicine Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497336226 PECOS PAC ID: 8123426483 Enrollment ID: O20211018001674 |
Mailing Address | Practice Location Address |
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Dr Jerald R Scott, MD 91-3633 Kauluakoko Unit 406, Ewa Beach, HI 96706-5867 Ph: (907) 775-6780 | Dr Jerald R Scott, MD 91-3633 Kauluakoko Unit 406, Ewa Beach, HI 96706-5867 Ph: (907) 775-6780 |
Dr. Fortunata Narvaez Gozun, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706 Phone: 808-691-8200 Fax: 808-677-1372 | |
Dr. Timothy Hoon Moon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706 Phone: 808-691-3000 | |
Jonelee Badua, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd Fl 3, Ewa Beach, HI 96706 Phone: 808-691-3150 | |
Dr. Lafe Nelson Harris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 91-2135 Fort Weaver Rd Fl 4, Ewa Beach, HI 96706 Phone: 808-691-3883 Fax: 808-691-3884 | |
Dr. Warren T Wilson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 91-819 Launahele St, Ewa Beach, HI 96706 Phone: 417-839-6517 |