Bridget Collins, Md, Llc | |
3175 Elua St Ste C Lihue HI 96766-1203 | |
(808) 212-9867 | |
(434) 333-7504 |
Full Name | Bridget Collins, Md, Llc |
---|---|
Speciality | Family Medicine |
Location | 3175 Elua St Ste C, Lihue, Hawaii |
Authorized Official Name and Position | Bridget Maureen Collins (OWNER) |
Authorized Official Contact | 8082129867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bridget Collins, Md, Llc 5903 Kiinani Pl Kapaa HI 96746-9707 Ph: (808) 212-9867 | Bridget Collins, Md, Llc 3175 Elua St Ste C Lihue HI 96766-1203 Ph: (808) 212-9867 |
NPI Number | 1033627930 |
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Provider Enumeration Date | 01/14/2018 |
Last Update Date | 04/01/2019 |
Medicare PECOS PAC ID | 5597027797 |
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Medicare Enrollment ID | O20180328002159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033627930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD-12374 (Hawaii) | Primary |
Provider Name | Bridget M Collins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992800403 PECOS PAC ID: 5890752208 Enrollment ID: I20041217000147 |
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