Gregory Park, MD | |
30 N Church St, Wailuku, HI 96793-1600 | |
(808) 244-7627 | |
(808) 242-6696 |
Full Name | Gregory Park |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 49 Years |
Location | 30 N Church St, Wailuku, Hawaii |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861497596 | NPI | - | NPPES |
04550602 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD3915 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Maui Memorial Medical Center | Wailuku, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wailea Medical Group Llc | 7618071101 | 2 |
Entity Name | Wailea Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497769988 PECOS PAC ID: 7618071101 Enrollment ID: O20070322000089 |
Mailing Address | Practice Location Address |
---|---|
Gregory Park, MD Seven Waterfront Plaza, 500 Ala Moana Blvd., Suite 300, Honolulu, HI 96813 Ph: (808) 521-1317 | Gregory Park, MD 30 N Church St, Wailuku, HI 96793-1600 Ph: (808) 244-7627 |
Pamela D. Hope, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Joseph K Kamaka Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 99 South Market Street, Wailuku, HI 96793 Phone: 808-244-5551 Fax: 808-242-0058 | |
Russell Garn, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-984-7434 | |
Margot J. Crandall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-244-9056 | |
Dr. Nolan Arruda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2344 | |
Stephen A. Bangle, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Drosie E. Rosaro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 |