| Andrew R Fong, MD | |
|
74-517 Honokohau St, Kailua Kona, HI 96740-2715 | |
| (808) 334-4400 | |
| Not Available |
| Full Name | Andrew R Fong |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 74-517 Honokohau St, Kailua Kona, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982759064 | NPI | - | NPPES |
| 088197-01 | Medicaid | HI | |
| 0000215194 | Other | HI | HMSA BILLING NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD-10156 (Hawaii) | Primary |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew R Fong, MD 74-517 Honokohau St, Kailua Kona, HI 96740-2715 Ph: (808) 334-4400 | Andrew R Fong, MD 74-517 Honokohau St, Kailua Kona, HI 96740-2715 Ph: (808) 334-4400 |
Dr. Tamara M Krimm, MD FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 Phone: 808-326-5629 | |
Dr. Craig Stevenson, PHD, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 74-5214 Keanalehu Dr, Kailua Kona, HI 96740 Phone: 808-355-5600 | |
Peter Joseph Locatelli, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 77-6447 Kuakini Hwy, Kailua Kona, HI 96740 Phone: 808-329-8005 Fax: 808-329-8007 | |
Dr. Virginia Burford Hatch-pigott, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy Ste C101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 | |
Marta L Derieg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy, Ste C101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 | |
Dr. Wesley Jitsuo Sugai, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 78-6831 Alii Dr Ste 328, Kailua Kona, HI 96740 Phone: 808-329-7719 Fax: 808-329-7518 | |
Robert H Laird, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy, Ste C-101, Kailua Kona, HI 96740 Phone: 808-329-7067 Fax: 808-329-2404 |