| Ms Melissa A Hogan, MSCP | |
| 
					210 Ward Ave, Suite 219b, Honolulu, HI 96814-4008  | |
| (808) 585-1424 | |
| (808) 585-0379 | 
| Full Name | Ms Melissa A Hogan | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 210 Ward 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 | 
|---|---|---|---|
| 1922444843 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Hawaii) | Primary | 
| Entity Name | Pacific Wellness Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922415280 PECOS PAC ID: 1557714029 Enrollment ID: O20240131003458  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Melissa A Hogan, MSCP 91-1210 Kaileolea Dr, 2l2, Ewa Beach, HI 96706-6241 Ph: (808) 372-1952  | Ms Melissa A Hogan, MSCP 210 Ward Ave, Suite 219b, Honolulu, HI 96814-4008 Ph: (808) 585-1424  | 
Sabrina Phelps,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829  | |
Heather Beecher,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St, Suite 203, Honolulu, HI 96814 Phone: 808-589-1829 Fax: 808-589-2610  | |
Shanna Frye,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., #203, Honolulu, HI 96814 Phone: 808-589-1829  | |
Charles Garcia,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 875 Waimanu St Ste 624, Honolulu, HI 96813 Phone: 808-791-6713  | |
Mr. Randy J. Jensen, MSN Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Punchbowl St., Honolulu, HI 96813 Phone: 808-223-3875  | |
Jumanne Washington,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., Honolulu, HI 96814 Phone: 808-589-1829  | |
Rachel Power,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Piikoi St., # 203, Honolulu, HI 96814 Phone: 808-589-1829  |