Jerry Takubala Kena, MBBS | |
Po Box Lbj, Pago Pago, AS 96799-0010 | |
(684) 633-1222 | |
(684) 633-2893 |
Full Name | Jerry Takubala Kena |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | Po Box Lbj, Pago Pago, American Samoa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568896397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2060-C (American Samoa) | Primary |
Entity Name | American Samoa Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
Mailing Address | Practice Location Address |
---|---|
Jerry Takubala Kena, MBBS Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Jerry Takubala Kena, MBBS Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 |
Mrs. Arica Sitili, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96799 Turner Drive., Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mr. Dunstone Aleziri, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 96799 Turner Drive., Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Ms. Susana Marieta Pene, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 96799 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-5107 | |
Dr. Salofi Laititi, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 96799 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mr. Seakerise Tuatoo, M.B.B.S Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mrs. Akosita Lesuma, MBBS Internal Medicine Medicare: Medicare Enrolled Practice Location: 96799 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Dr. Luz Bernabe, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Dr Paul Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1839 |