Erica Sudimak, is a
Specialist based in Honolulu, Hawaii. Erica Sudimak is licensed to practice in Massachusetts (license number 332554) and her current practice location is
109 Beard Ave, Honolulu, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(302) 357-0168.
NPI number for Erica Sudimak is 1326828195 and her current mailing address is 109 Beard Ave, Honolulu, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326828195.
Provider's Profile
| Full Name | Erica Sudimak |
|---|
| Gender | Female |
|---|
| Speciality | Specialist |
|---|
| Location | 109 Beard Ave, Honolulu, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326828195
- Provider Enumeration Date: 09/29/2023
- Last Update Date: 02/14/2024
Medical Identifiers
Medical identifiers for Erica Sudimak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326828195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN-115327-0 (Hawaii) | Secondary |
| 174400000X | Specialist | 332554 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Sudimak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erica Sudimak,
109 Beard Ave,
Honolulu, HI 96818-5120
Ph: (302) 357-0168 | Erica Sudimak,
109 Beard Ave,
Honolulu, HI 96818-5120
Ph: (302) 357-0168 |
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