Gabrielle A O'sullivan, MD | |
1881 Nani Street, Wailuku, HI 96793 | |
(808) 871-7772 | |
(808) 872-4036 |
Full Name | Gabrielle A O'sullivan |
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Gender | Female |
Speciality | Family Medicine |
Location | 1881 Nani Street, Wailuku, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295881332 | NPI | - | NPPES |
8370496 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD-18414 (Hawaii) | Primary |
Entity Name | Community Clinic Of Maui, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528042561 PECOS PAC ID: 2466365440 Enrollment ID: O20040219000740 |
Mailing Address | Practice Location Address |
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Gabrielle A O'sullivan, MD 1881 Nani Street, Wailuku, HI 96793 Ph: (808) 871-7772 | Gabrielle A O'sullivan, MD 1881 Nani Street, Wailuku, HI 96793 Ph: (808) 871-7772 |
John G Meisel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Bradley Holman Glenn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-244-5366 | |
Dr. Diane Nagasaka, M..D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4209 | |
Dr. Guy M. Sugino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Kathleen Kearns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4092 | |
Errol T Buntuyan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 |