Vickie Marie Fachinelli Portes, RN,CNP is a medicare enrolled "Pediatrics" in Keaau, Hawaii. Her current practice location is
16-192 Pili Mua St, Keaau, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 333-3600.
Vickie Marie Fachinelli Portes is licensed to practice in Hawaii (license number APRN-2904) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871759050.
Provider's Profile
Full Name | Vickie Marie Fachinelli Portes |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 16-192 Pili Mua St, Keaau, Hawaii |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871759050
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 07/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254499890
- Enrollment ID: I20200529000384
Medical Identifiers
Medical identifiers for Vickie Marie Fachinelli Portes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871759050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | R1399752 (Minnesota) | Secondary |
208000000X | Pediatrics | APRN-2904 (Hawaii) | 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. Vickie Marie Fachinelli Portes 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 |
Vickie Marie Fachinelli Portes, RN,CNP 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740-1753 Ph: (808) 333-3600 | Vickie Marie Fachinelli Portes, RN,CNP 16-192 Pili Mua St, Keaau, HI 96749-8134 Ph: (808) 333-3600 |
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