| Alicia Roston, MD | |
|
1883 Mill St, Wailuku, HI 96793-1236 | |
| (808) 242-8765 | |
| Not Available |
| Full Name | Alicia Roston |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 8 Years |
| Location | 1883 Mill St, Wailuku, Hawaii |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700380029 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maui Urology, Llc | 9739413741 | 3 |
| Hawaii Permanente Medical Group Inc | 7618880667 | 710 |
| Maui Health System A Kaiser Foundation Hospitals Llc | 9830476159 | 55 |
| 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 |