| The Moses Group, Llc | |
|
98-1247 Kaahumanu St Ste 322 Aiea HI 96701-5301 | |
| (808) 782-1113 | |
| (808) 356-0966 |
| Full Name | The Moses Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 98-1247 Kaahumanu St Ste 322, Aiea, Hawaii |
| Authorized Official Name and Position | John Moses (MANAGING MEMBER) |
| Authorized Official Contact | 8087821113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Moses Group, Llc Po Box 894436 Mililani HI 96789-8324 Ph: (808) 782-1113 | The Moses Group, Llc 98-1247 Kaahumanu St Ste 322 Aiea HI 96701-5301 Ph: (808) 782-1113 |
| NPI Number | 1396203295 |
|---|---|
| Provider Enumeration Date | 03/10/2019 |
| Last Update Date | 03/10/2019 |
| Medicare PECOS PAC ID | 9234461880 |
|---|---|
| Medicare Enrollment ID | O20191030003725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396203295 | NPI | - | NPPES |
| Provider Name | Cecilia A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742030 PECOS PAC ID: 4880942499 Enrollment ID: I20180911002172 |
| Provider Name | John Paul Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737481 PECOS PAC ID: 0840536447 Enrollment ID: I20190117002201 |
| Provider Name | Shelley Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164185237 PECOS PAC ID: 9739578360 Enrollment ID: I20221103001317 |
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