Ka'u Wellness Llc | |
92-8691 Lotus Blossom Lane #6-7 Ocean View HI 96737-6065 | |
(808) 939-8100 | |
(808) 829-3672 |
Full Name | Ka'u Wellness Llc |
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Speciality | Clinic/Center |
Location | 92-8691 Lotus Blossom Lane, Ocean View, Hawaii |
Authorized Official Name and Position | Doede Deawn Donaugh (OWNER/MEMBER-MANAGER) |
Authorized Official Contact | 8089398100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ka'u Wellness Llc Po Box 6065 Ocean View HI 96737-6065 Ph: (808) 939-8100 | Ka'u Wellness Llc 92-8691 Lotus Blossom Lane #6-7 Ocean View HI 96737-6065 Ph: (808) 939-8100 |
NPI Number | 1538611173 |
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Provider Enumeration Date | 10/31/2016 |
Last Update Date | 10/29/2020 |
Medicare PECOS PAC ID | 2163799800 |
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Medicare Enrollment ID | O20170530001839 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538611173 | NPI | - | NPPES |
692584 | Medicaid | HI |
Provider Name | Doede D Donaugh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700076957 PECOS PAC ID: 8325138084 Enrollment ID: I20121129000089 |
Provider Name | Heather Hokulani Porter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972849917 PECOS PAC ID: 0345493482 Enrollment ID: I20130123000404 |
Provider Name | Marina B Padilla |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528503232 PECOS PAC ID: 1759666555 Enrollment ID: I20170707001384 |
Provider Name | Patrick Carl Yeakey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225124324 PECOS PAC ID: 2961545041 Enrollment ID: I20200529002785 |
Provider Name | Stephani R Conner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629697784 PECOS PAC ID: 5991101156 Enrollment ID: I20210914000796 |
Provider Name | Denise Carey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245948355 PECOS PAC ID: 1254701683 Enrollment ID: I20221229002809 |
Vfl Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92-8691 Lotus Blossom Lane, 6&7, Ocean View, HI 96737 Phone: 828-230-7471 |