Mrs Linda Sue Fernandez, PT | |
4747 Kilauea Ave, 103, Honolulu, HI 96816-5308 | |
(808) 737-6103 | |
(808) 737-6072 |
Full Name | Mrs Linda Sue Fernandez |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4747 Kilauea Ave, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952468597 | NPI | - | NPPES |
01797301 | Medicaid | HI | |
H19326 | Other | HI | HMSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1147 (Hawaii) | Primary |
Provider Name | Fernandez Sports And Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861544413 PECOS PAC ID: 8426957606 Enrollment ID: O20040107000381 |
Mailing Address | Practice Location Address |
---|---|
Mrs Linda Sue Fernandez, PT 4747 Kilauea Ave, 103, Honolulu, HI 96816-5308 Ph: (808) 737-6103 | Mrs Linda Sue Fernandez, PT 4747 Kilauea Ave, 103, Honolulu, HI 96816-5308 Ph: (808) 737-6103 |
Michael M Ebesu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-778-6728 | |
Taryn Jennings, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 833-833-3333 | |
Abe Shimoda, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7192 Kalanianaole Hwy, Honolulu, HI 96825 Phone: 808-396-7303 Fax: 808-395-7160 | |
Mr. Graham C Hadley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2812b Kalihi St, Honolulu, HI 96819 Phone: 808-848-5556 Fax: 808-848-5557 | |
Randall Fukuji, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1834 Nuuanu Ave Ste 101, Honolulu, HI 96817 Phone: 808-521-4922 Fax: 808-521-4921 | |
Yunsim C. Suehisa, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7114 Niumalu Loop, Honolulu, HI 96825 Phone: 808-277-4073 Fax: 808-396-5581 | |
Jonathan Kaminaka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |