Dr Michael A Clark, MD | |
4643 Waimea Canyon Drive, Waimea, HI 96796 | |
(808) 338-9431 | |
Not Available |
Full Name | Dr Michael A Clark |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 14 Years |
Location | 4643 Waimea Canyon Drive, Waimea, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639374523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 16124 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kauai Veterans Memorial Hospital | Waimea, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kauai Veterans Memorial Hospital | 7911805114 | 18 |
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 |
Entity Name | Kauai Veterans Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467510743 PECOS PAC ID: 7911805114 Enrollment ID: O20040128000796 |
Entity Name | Hawaii Anesthesia Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548336183 PECOS PAC ID: 7012807928 Enrollment ID: O20040316000748 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Clark, MD Po Box 1041, Koloa, HI 96756-1041 Ph: (423) 202-8790 | Dr Michael A Clark, MD 4643 Waimea Canyon Drive, Waimea, HI 96796 Ph: (808) 338-9431 |
Robert Joseph Millard, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4643 Waimea Canyon Drive, Kauai Veterans Memorial Hospital, Waimea, HI 96796 Phone: 808-338-9444 Fax: 808-338-9235 |