John Marshall Knox Ii, MD | |
375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 | |
(808) 875-7477 | |
(808) 879-4585 |
Full Name | John Marshall Knox Ii |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 375 Huku Lii Pl, Kihei, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396749347 | NPI | - | NPPES |
P00985643 | Other | WA | PALMETTO RR MEDICARE |
0087KN | Other | WA | REGENCE |
1396749347 | Medicaid | WA | |
274442 | Other | WA | LNI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | F9684 (Texas) | Secondary |
207N00000X | Dermatology | MD12517 (Hawaii) | Primary |
207N00000X | Dermatology | MD60199612 (Washington) | Secondary |
Entity Name | Complete Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467794842 PECOS PAC ID: 1759510316 Enrollment ID: O20140131001692 |
Mailing Address | Practice Location Address |
---|---|
John Marshall Knox Ii, MD 375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 Ph: (808) 875-7477 | John Marshall Knox Ii, MD 375 Huku Lii Pl, Suite 201, Kihei, HI 96753-8996 Ph: (808) 875-7477 |
Dr. Amy K Reisenauer, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 N Holopono St Ste 215, Kihei, HI 96753 Phone: 808-874-3444 Fax: 808-874-3443 | |
Dr. George M Martin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 161 Wailea Ike Pl Ste A104, Kihei, HI 96753 Phone: 808-875-0511 Fax: 808-875-8595 | |
Heather Irene Bejenaru, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 161 Wailea Ike Pl Ste A104, Kihei, HI 96753 Phone: 808-875-0511 Fax: 808-875-8595 | |
Dr. Kenny R Malott, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 375 Huku Lii Pl, Suite 201, Kihei, HI 96753 Phone: 808-875-7546 Fax: 808-879-4585 |