Dr Dwight Clesson Kellicut Iii, MD in Tripler Army Medical Center, HI

Dr Dwight Clesson Kellicut Iii, MD is a Surgery - Vascular Surgery physician based in Tripler Army Medical Center, Hawaii. Dr Dwight Clesson Kellicut Iii is licensed to practice in Indiana (license number 01053701A) and his current practice location is 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii. He can be reached at his office (for appointments etc.) via phone at (808) 433-6777.

NPI number for Dr Dwight Clesson Kellicut Iii is 1871518662 and his current mailing address is 4725 Bougainville Dr # 115, Honolulu, Hawaii. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871518662.

Contact Information

	Dr Dwight Clesson Kellicut Iii, MD
	1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001
	(808) 433-6777
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dwight Clesson Kellicut Iii
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	1 Jarrett White Rd, Tripler Army Medical Center, Hawaii
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1871518662
Provider Enumeration Date: 07/13/2006
Last Update Date: 07/28/2023

Medical Identifiers

Medical identifiers for Dr Dwight Clesson Kellicut Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871518662	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	01053701A (Indiana)	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 Dwight Clesson Kellicut Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Dwight Clesson Kellicut Iii, MD 4725 Bougainville Dr # 115, Honolulu, HI 96818-3179 Ph: (864) 455-7000	Dr Dwight Clesson Kellicut Iii, MD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 Ph: (808) 433-6777

Reviews and Comments

Surgery Doctors in Tripler Army Medical Center, HI

Dr. Michael Joseph Mulcahy, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd Side, Tripler Army Medical Center, HI 96859 Phone: 808-433-3444
Anthony Katras, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5228
Jillian Marie Findlay, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 Phone: 808-433-3479
Dr. Jeanette Emily Paterson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-3470
Dr. Radhames Eliel Lizardo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 817-343-9563
Dr. Bonnie Tulk, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 Phone: 720-369-5525
Dr. Benjamin Tabak, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 96859 Phone: 808-341-5395

Dr Dwight Clesson Kellicut Iii, MD - Surgery in Tripler Army Medical Center, HI