Dr Robert Randolph Waterford, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Kahului, Hawaii. His current practice location is
385 Hukilike St, Suite 210, Kahului, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 871-8346.
Dr Robert Randolph Waterford is licensed to practice in Hawaii (license number 15055) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376559203.
Physician's Profile
Full Name | Dr Robert Randolph Waterford |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 385 Hukilike St, Kahului, Hawaii |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Robert Randolph Waterford attended and graduated from in
NPI Data:
- NPI Number: 1376559203
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 02/15/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Robert Randolph Waterford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376559203 | NPI | - | NPPES |
BW115Y | Other | HI | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 15055 (Hawaii) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 15055 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert Randolph Waterford is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Robert Randolph Waterford, MD Po Box 923, Wailuku, HI 96793-0923 Ph: (808) 268-5789 | Dr Robert Randolph Waterford, MD 385 Hukilike St, Suite 210, Kahului, HI 96732-3522 Ph: (808) 871-8346 |
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