| Bisac | |
|
297 Waianuenue Avenue Hilo HI 96720-2438 | |
| (808) 935-4927 | |
| (808) 934-8067 |
| Full Name | Bisac |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 297 Waianuenue Avenue, Hilo, Hawaii |
| Authorized Official Name and Position | Hannah K Preston-pita (CEO) |
| Authorized Official Contact | 8089699994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bisac 16-179 Melekahiwa Street Kea'au HI 96749 Ph: (808) 969-9994 | Bisac 297 Waianuenue Avenue Hilo HI 96720-2438 Ph: (808) 935-4927 |
| NPI Number | 1578615514 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 07/29/2013 |
| Medicare PECOS PAC ID | 8628130820 |
|---|---|
| Medicare Enrollment ID | O20081223000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578615514 | NPI | - | NPPES |
| J000920-7 | Other | HI | HILO COMMERCIAL # |
| L000920-3 | Other | HI | E. HI-ADOL. COMMERCIAL # |
| B000920-5 | Other | HI | KONA COMMERCIAL PROV. # |
| 00J000920-7 | Other | HI | HILO QUEST PROVIDER # |
| 3747 | Other | HI | ALOHACARE PROVIDER # |
| 00P000920-4 | Other | HI | WAIMEA QUEST PROVIDER # |
| P000920-4 | Other | HI | WAIMEA COMMERCIAL PROV. # |
| 00B000920-5 | Other | HI | KONA QUEST PROVIDER # |
| E000920-8 | Other | HI | W. HI-ADOL COMMECIAL # |
| 00E000920-8 | Other | HI | W. HI-ADOL QUEST PROV # |
| 00L000920-3 | Other | HI | E. HI-ADOL. QUEST # |
| F0009206 | Other | HI | KAPOLEI QUEST PROVIDER # |
| G0009204 | Other | HI | WAIANAE QUEST PROVIDER # |
| Provider Name | Hannah K Preston-pita |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124358742 PECOS PAC ID: 9638204373 Enrollment ID: I20100318000994 |
| Provider Name | Leila Tomoyo Mitsunaga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639716483 PECOS PAC ID: 0143656546 Enrollment ID: I20200203002312 |
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