Evan O'dea, MD | |
1329 Lusitana St Ste 604, Honolulu, HI 96813-2431 | |
(808) 531-1116 | |
Not Available |
Full Name | Evan O'dea |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 7 Years |
Location | 1329 Lusitana St Ste 604, Honolulu, 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 |
---|---|---|---|
1790210276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD-21296 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Queens Medical Center | Honolulu, HI | Hospital |
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Island Medical Consultants, Llc | 2264696681 | 17 |
Anesthesia Associates Northwest Llc | 7618908484 | 86 |
Entity Name | Island Medical Consultants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881965986 PECOS PAC ID: 2264696681 Enrollment ID: O20120615000375 |
Mailing Address | Practice Location Address |
---|---|
Evan O'dea, MD 1329 Lusitana St Ste 604, Honolulu, HI 96813-2431 Ph: () - | Evan O'dea, MD 1329 Lusitana St Ste 604, Honolulu, HI 96813-2431 Ph: (808) 531-1116 |
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