Mrs Mary G Roush, RN CDE | |
3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766-1098 | |
(808) 246-1629 | |
(808) 246-1381 |
Full Name | Mrs Mary G Roush |
---|---|
Gender | Female |
Speciality | Registered Nurse - Diabetes Educator |
Location | 3-3420 Kuhio Hwy, Lihue, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578752002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WD0400X | Registered Nurse - Diabetes Educator | 26894 (Hawaii) | Primary |
Entity Name | Kauai Medical Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary G Roush, RN CDE 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766-1098 Ph: (808) 246-1629 | Mrs Mary G Roush, RN CDE 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766-1098 Ph: (808) 246-1629 |
Miss Krystal Ashley Gray Manuel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3501 Rice St Ste 2022, Lihue, HI 96766 Phone: 808-755-5056 | |
Paula Schultz, BS NURSING Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2970 Kele St, Suite 203, Lihue, HI 96766 Phone: 808-245-5914 Fax: 808-245-8040 | |
Danielle Hill, MSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-246-1380 Fax: 808-246-1381 | |
Chelsea Letendre, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4485 Pahee St Ste 150, Lihue, HI 96766 Phone: 808-940-1643 | |
Kelly Jean Yeun, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4485 Pahee St, Lihue, HI 96766 Phone: 808-246-0497 Fax: 808-246-9349 | |
Miss Britney Taniguchi, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3896 Hunakai St, Lihue, HI 96766 Phone: 808-639-2358 | |
Hazel Cross, RN,CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3-3420 Kuhio Hwy Ste B, Lihue, HI 96766 Phone: 808-212-8443 Fax: 808-246-1381 |