Dr Phyllis Anne Cullen, MD | |
1437 Kilauea Ave, Suite 103, Hilo, HI 96720-4200 | |
(808) 498-4160 | |
(808) 498-4163 |
Full Name | Dr Phyllis Anne Cullen |
---|---|
Gender | Female |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1437 Kilauea Ave, Hilo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356309181 | NPI | - | NPPES |
00G324030 | Medicaid | CA | |
ZZZ06195Z | Other | CA | MEDICARE GROUP PTAN |
00G324032 | Other | CA | MEDICARE INDIVIDUAL PTAN |
1881883320 | Other | CA | MEDICARE GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | G32403 (California) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | MD 17298 (Hawaii) | Primary |
Entity Name | Pec Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528305208 PECOS PAC ID: 3870748023 Enrollment ID: O20130220000025 |
Mailing Address | Practice Location Address |
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Dr Phyllis Anne Cullen, MD Po Box 1477, Hilo, HI 96721-1477 Ph: (530) 895-3287 | Dr Phyllis Anne Cullen, MD 1437 Kilauea Ave, Suite 103, Hilo, HI 96720-4200 Ph: (808) 498-4160 |
Dr. Greg W Ruhland, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Pauahi St, Suite #104, Hilo, HI 96720 Phone: 808-933-3400 Fax: 808-933-3401 | |
Lynn Puana, M.D. Pain Medicine Medicare: Medicare Enrolled Practice Location: 32 Ululani St, Hilo, HI 96720 Phone: 808-934-9675 Fax: 808-934-9676 |