Sean Gregory Scully, is a medicare enrolled "Nurse Practitioner - Family" in Ewa, Hawaii. His current practice location is
91-590 Farrington Highway #300, Ewa, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 674-0269.
Sean Gregory Scully is licensed to practice in Hawaii (license number 2565) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265400899.
Provider's Profile
| Full Name | Sean Gregory Scully |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 91-590 Farrington Highway #300, Ewa, Hawaii |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1265400899
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 06/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517208713
- Enrollment ID: I20190417000902
Medical Identifiers
Medical identifiers for Sean Gregory Scully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265400899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2565 (Hawaii) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sean Gregory Scully allows following entities to bill medicare on his behalf.
| Entity Name | Us Med Urgent Care |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073816245
PECOS PAC ID: 6103093364
Enrollment ID: O20120111000901 |
|---|
| Entity Name | Mel A Ona M D Incorporated |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710459300
PECOS PAC ID: 9335489442
Enrollment ID: O20190327000073 |
|---|
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. Sean Gregory Scully is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sean Gregory Scully,
1245 Kuala St,
Pearl City, HI 96782-3900
Ph: (808) 784-2273 | Sean Gregory Scully,
91-590 Farrington Highway #300,
Ewa, HI 96707
Ph: (808) 674-0269 |
Reviews and Comments