| Cheri Bantilan, RDN, CD | |
|
44 Alekanekelo Pl, Haiku, HI 96708-5321 | |
| (808) 489-5395 | |
| Not Available |
| Full Name | Cheri Bantilan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 44 Alekanekelo Pl, Haiku, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346025616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI61072548 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | 86083659 (Hawaii) | Primary |
| Provider Name | Hui No Ke Ola Pono Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881701357 PECOS PAC ID: 7012941594 Enrollment ID: O20050923000457 |
| Provider Name | Cheri Macie LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346012440 PECOS PAC ID: 7012353527 Enrollment ID: O20240306003884 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheri Bantilan, RDN, CD 44 Alekanekelo Pl, Haiku, HI 96708-5321 Ph: Not Available | Cheri Bantilan, RDN, CD 44 Alekanekelo Pl, Haiku, HI 96708-5321 Ph: (808) 489-5395 |
Alana Hendrickson, RDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 640 Awalau Rd, Haiku, HI 96708 Phone: 808-276-2793 |
Cheri Macie Dietitian Medicare: Medicare Enrolled Practice Location: 44 Alekanekelo Pl, Haiku, HI 96708 Phone: 808-489-5395 |
Rachael Kent Frias, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1459 Kauhikoa Rd, Haiku, HI 96708 Phone: 808-283-0545 |