| Alicia Roston, MD | |
| 1883 Mill St, Wailuku, HI 96793-1236 | |
| (808) 242-8765 | |
| Not Available | 
| Full Name | Alicia Roston | 
|---|---|
| Gender | Female | 
| Speciality | Urology | 
| Location | 1883 Mill St, Wailuku, Hawaii | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700380029 | NPI | - | NPPES | 
| Entity Name | Maui Urology, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073179669 PECOS PAC ID: 9739413741 Enrollment ID: O20190625003413 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alicia Roston, MD 1883 Mill St, Wailuku, HI 96793-1236 Ph: (808) 242-8765 | Alicia Roston, MD 1883 Mill St, Wailuku, HI 96793-1236 Ph: (808) 242-8765 | 
| Soren N Carlsen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 71 Kanoa St Ste 201, Wailuku, HI 96793 Phone: 808-242-8765 Fax: 808-242-8769 | |
| Benjamin T. Shurtleff, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
| J. Glenn Haines, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1830 Wells St, Ste 101, Wailuku, HI 96793 Phone: 808-244-3200 Fax: 808-244-9793 | |
| Todd H. Hoekstra, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 |