Keely Egan Kopp, PA-C | |
2180 Main St, Wailuku, HI 96793-1625 | |
(808) 242-6464 | |
(808) 242-4292 |
Full Name | Keely Egan Kopp |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 16 Years |
Location | 2180 Main St, Wailuku, 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 |
---|---|---|---|
1356506190 | NPI | - | NPPES |
433005199 | Medicaid | ME | |
30336793 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA001129 (Maine) | Secondary |
363A00000X | Physician Assistant | AMD-522 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maui Medical Group Inc | 7214823368 | 65 |
Mailing Address | Practice Location Address |
---|---|
Keely Egan Kopp, PA-C 2180 Main St, Wailuku, HI 96793-1625 Ph: (808) 242-6464 | Keely Egan Kopp, PA-C 2180 Main St, Wailuku, HI 96793-1625 Ph: (808) 242-6464 |
Mr. Arthur Ruben Sakakihara - Chavarria, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 | |
Mr. Simon Damian Hill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 | |
Ms. Pamela D. Wolz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 | |
Judy Lavenson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 | |
Rebeka Lyn Coleman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-4267 | |
Mr. Philip Michael Tongg Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-4267 Fax: 808-242-4292 | |
Amanda Jo Shaw, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 |