Pernille Ottosen, | |
449 Kapahulu Ave Ste 104, Honolulu, HI 96815-3850 | |
(808) 735-0007 | |
Not Available |
Full Name | Pernille Ottosen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 449 Kapahulu Ave Ste 104, Honolulu, Hawaii |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972536373 | NPI | - | NPPES |
648718100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60463242 (Washington) | Secondary |
207Q00000X | Family Medicine | MD19692 (Hawaii) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Queens Medical Center | Honolulu, HI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Queens University Medical Group | 2466831557 | 545 |
Entity Name | The Queens Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
Entity Name | Iuc Holdings Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043660939 PECOS PAC ID: 3072800192 Enrollment ID: O20160916001930 |
Entity Name | Queens University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
Mailing Address | Practice Location Address |
---|---|
Pernille Ottosen, 449 Kapahulu Ave Ste 104, Honolulu, HI 96815-3850 Ph: (808) 735-0007 | Pernille Ottosen, 449 Kapahulu Ave Ste 104, Honolulu, HI 96815-3850 Ph: (808) 735-0007 |
Pantea Shoja, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1860 Ala Moana Blvd, #101, Honolulu, HI 96815 Phone: 808-921-2273 Fax: 808-921-2274 | |
Christina L Poon, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2226 Liliha St Ste 308, Honolulu, HI 96817 Phone: 808-892-4361 | |
Dr. Jennifer Junnila Walker, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Road, Tripler Amc, Striper Army Medical Center, Honolulu, HI 96859 Phone: 808-433-8500 Fax: 808-433-8505 | |
Dr. Lauren I Okamoto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 347 N Kuakini St, Hpm 9, Honolulu, HI 96817 Phone: 808-523-8461 | |
Dr. John Albion Benson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Honolulu, HI 96859 Phone: 808-433-8850 | |
Dr. Mary Kathleen Gaynor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1132 Bishop St, Suite 1900, Honolulu, HI 96813 Phone: 808-587-5879 | |
Leilani Ludviksen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 963 Kailiu Pl, Honolulu, HI 96825 Phone: 808-389-7075 |