| Annabelle Mateo, | |
|
2180 Main St, Wailuku, HI 96793-1666 | |
| (808) 242-6464 | |
| (808) 243-2385 |
| Full Name | Annabelle Mateo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2180 Main 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 |
|---|---|---|---|
| 1699796730 | NPI | - | NPPES |
| 9901768599693B011 | Other | HI | TRICARE CHAMPUS |
| 49740502 | Medicaid | HI | |
| 839943 | Other | HI | UHA |
| 227108 | Other | HI | HMSA 65CP - HMSA QUEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD10493 (Hawaii) | Primary |
| Entity Name | Kapiolani Medical Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895 |
| Entity Name | Kapiolani Medical Center For Women & Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Annabelle Mateo, 2180 Main St, Wailuku, HI 96793-1666 Ph: (808) 242-6464 | Annabelle Mateo, 2180 Main St, Wailuku, HI 96793-1666 Ph: (808) 242-6464 |
Maria A. Matijasevic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Douglas J Gamet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6125 Fax: 808-243-6134 | |
David M. Bacchus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Garry Cameron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4031 | |
Dr. David M. Ulin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Christina Efthimiadis Seeley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-793-8009 | |
Dr. Roxanne Bhattacharya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2385 |