Mr Petueli Emose, MBBS | |
96799 Turner Drive, Pago Pago, AS 96799-0010 | |
(684) 633-1222 | |
(684) 633-1869 |
Full Name | Mr Petueli Emose |
---|---|
Gender | Male |
Speciality | Surgery - Surgical Critical Care |
Location | 96799 Turner Drive, 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 |
---|---|---|---|
1184371916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 5021C (American Samoa) | Primary |
Entity Name | American Samoa Medical Center |
---|---|
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 |
---|---|
Mr Petueli Emose, MBBS Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Mr Petueli Emose, MBBS 96799 Turner Drive, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 |
Oliver Adriano, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Dr. Victor T Tofaeono, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Turner Drive, Lbj Tropical Medical Center, Pago Pago, AS 96799 Phone: 684-633-1683 Fax: 684-633-1976 | |
Robert Malcaba Gayapa, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Dr. David Henry Gard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 123 Turner Lane, Lbj Tropical Medical Center, Pago Pago, AS 96799 Phone: 684-633-1683 Fax: 684-633-1976 | |
Fe Simonette L Sabado, MBBS Surgery Medicare: Not Enrolled in Medicare Practice Location: 96799 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 | |
Mr. Kamlesh Kumar, M.B.B.S Surgery Medicare: Medicare Enrolled Practice Location: Po Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-2893 |