| Anthony Ivins Clark, MD | |
|
3-3420 Kuhio Hwy, Lihue, HI 96766-1042 | |
| (808) 245-1100 | |
| Not Available |
| Full Name | Anthony Ivins Clark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 10 Years |
| Location | 3-3420 Kuhio Hwy, Lihue, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841679057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD-20441 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kauai Medical Clinic | 5092628479 | 131 |
| Billings Clinic | 6002993516 | 685 |
| Entity Name | Kauai Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376596643 PECOS PAC ID: 5092628479 Enrollment ID: O20031111000540 |
| Entity Name | Hawaii Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548336183 PECOS PAC ID: 7012807928 Enrollment ID: O20040316000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Ivins Clark, MD 1356 Lusitana St, 7th Floor, Honolulu, HI 96813-2409 Ph: () - | Anthony Ivins Clark, MD 3-3420 Kuhio Hwy, Lihue, HI 96766-1042 Ph: (808) 245-1100 |
Dr. Michael D. Johnston, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1020 Fax: 808-246-2927 | |
Dr. Elaine Y. Kubota, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1020 Fax: 808-246-2927 | |
Dr. Michael I. Diamant, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-973-7320 Fax: 808-973-7325 | |
Dr. Robert E. Oelke, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1020 Fax: 808-246-2927 | |
Dr. Cora Ze Ying Dong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy Ste B, Lihue, HI 96766 Phone: 808-245-1020 | |
Dr. Dawn Allison Sparks, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 4366 Kukui Grove St Ste 202, Lihue, HI 96766 Phone: 808-977-2700 Fax: 808-241-7626 | |
Dr. Thomas C. Sanchez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1020 Fax: 808-246-2927 |