| Kamahele Bernard Llc | |
|
95-390 Kuahelani Ave # 3ac-1128 Mililani HI 96789-1192 | |
| (808) 428-0177 | |
| Not Available |
| Full Name | Kamahele Bernard Llc |
|---|---|
| Speciality | Social Worker |
| Location | 95-390 Kuahelani Ave # 3ac-1128, Mililani, Hawaii |
| Authorized Official Name and Position | Joelle Bernard (OWNER) |
| Authorized Official Contact | 8084280177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kamahele Bernard Llc 95-390 Kuahelani Ave # 3ac-1128 Mililani HI 96789-1192 Ph: (808) 428-0177 | Kamahele Bernard Llc 95-390 Kuahelani Ave # 3ac-1128 Mililani HI 96789-1192 Ph: (808) 428-0177 |
| NPI Number | 1750046991 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Medicare PECOS PAC ID | 8527443670 |
|---|---|
| Medicare Enrollment ID | O20220910000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750046991 | NPI | - | NPPES |
| 20190826367003 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Joelle Branch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942725940 PECOS PAC ID: 0941621346 Enrollment ID: I20200610000812 |
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