Lance M Blaisdell, MD | |
3288 Moanalua Rd, Honolulu, HI 96819-1469 | |
(808) 432-0000 | |
Not Available |
Full Name | Lance M Blaisdell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3288 Moanalua Rd, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043307143 | NPI | - | NPPES |
060378-01 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD-8231 (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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Lance M Blaisdell, MD 3288 Moanalua Rd, Honolulu, HI 96819-1469 Ph: (808) 432-0000 | Lance M Blaisdell, MD 3288 Moanalua Rd, Honolulu, HI 96819-1469 Ph: (808) 432-0000 |
Dr. Hee Jung Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 321 N Kuakini St Ste 306, Honolulu, HI 96817 Phone: 808-792-9888 | |
Vien That Ton, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1575 S Beretania St #201-202, Honolulu, HI 96826 Phone: 808-946-1712 Fax: 808-946-1728 | |
Rony Newton Rathod, PA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1401 S Beretania St Ste 400, Honolulu, HI 96814 Phone: 808-206-5301 | |
Sontaya L Fujikake, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1575 South Beretania Street, # 201 To 202, Honolulu, HI 96826 Phone: 808-946-1712 Fax: 808-946-1728 | |
Jun Zhuo Luo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2914 Booth Rd Apt 12, Honolulu, HI 96813 Phone: 801-598-3679 | |
Dr. Ligaya Stice, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1319 Punahou St, Honolulu, HI 96826 Phone: 808-536-0314 |