Jefferson Reid Roberts, MD | |
1 Jarrett White Rd, Tripler Army Medical Center Attn Mchkqs, Tripler Amc, HI 96859-5001 | |
(808) 433-5206 | |
(808) 433-6949 |
Full Name | Jefferson Reid Roberts |
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Gender | Male |
Speciality | Internal Medicine - Rheumatology |
Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1891770558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RR0500X | Internal Medicine - Rheumatology | 12355 (Hawaii) | Primary |
Entity Name | Hawaii Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Mailing Address | Practice Location Address |
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Jefferson Reid Roberts, MD 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchkqs, Tripler Amc, HI 96859-5001 Ph: (808) 433-5206 | Jefferson Reid Roberts, MD 1 Jarrett White Rd, Tripler Army Medical Center Attn Mchkqs, Tripler Amc, HI 96859-5001 Ph: (808) 433-5206 |
Allen Fong, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-2244 | |
Dr. Dale Stewart Vincent, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Karen Jeng Pei Shou, DO Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6527 | |
Dr. Lisa Claire Townsend, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6661 | |
Dr. Robert Louis Sheffler, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. Thomas Wisenbaugh, M.D. Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Cardiology Section, Tripler Amc, HI 96859 Phone: 808-433-1225 | |
Kelly Jongwon Sun, MD Rheumatology Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-6661 |