Dr Robert Randolph Waterford, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Kahului, Hawaii. He went to Stanford University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Vascular Surgery. 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 | Vascular Surgery |
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| Experience | 39 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. |
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Medical Education and Training:
- Dr Robert Randolph Waterford attended and graduated from Stanford University School Of Medicine in 1985
NPI Data:
- NPI Number: 1376559203
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 02/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 7113826629
- Enrollment ID: I20090706000219
Medical Identifiers
Medical identifiers for Dr Robert Randolph Waterford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376559203 | NPI | - | NPPES |
| BW115Y | Other | HI | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 15055 (Hawaii) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 15055 (Hawaii) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert Randolph Waterford allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Rim Cardiovascular Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891013199
PECOS PAC ID: 8325216732
Enrollment ID: O20110728000636 |
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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 |
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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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