Jennie M H Montijo, DO | |
221 Mahalani St, Wailuku, HI 96793-2526 | |
(808) 244-9056 | |
Not Available |
Full Name | Jennie M H Montijo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 221 Mahalani St, 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 |
---|---|---|---|
1306089404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | OP60192346 (Washington) | Secondary |
208000000X | Pediatrics | DOS-1573 (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 |
Entity Name | Hilo Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962584060 PECOS PAC ID: 1254422900 Enrollment ID: O20070809000268 |
Entity Name | Maui Health System A Kaiser Foundation Hospitals Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013379460 PECOS PAC ID: 9830476159 Enrollment ID: O20170725002612 |
Mailing Address | Practice Location Address |
---|---|
Jennie M H Montijo, DO 221 Mahalani St, Wailuku, HI 96793-2526 Ph: (808) 244-9056 | Jennie M H Montijo, DO 221 Mahalani St, Wailuku, HI 96793-2526 Ph: (808) 244-9056 |
Maria A. Matijasevic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Douglas J Gamet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6125 Fax: 808-243-6134 | |
David M. Bacchus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Garry Cameron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4031 | |
Dr. David M. Ulin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Christina Efthimiadis Seeley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-793-8009 | |
Dr. Roxanne Bhattacharya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2385 |