| David Heaton, | |
|
1 Jarrett White Rd, Tripler Amc, HI 96859-5001 | |
| (808) 433-3707 | |
| Not Available |
| Full Name | David Heaton |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Jarrett White Rd, Tripler Amc, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932303344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | BP10026992 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | DOS-1569 (Hawaii) | Primary |
| Entity Name | Longhorn Emergency Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Ess Of Fairfield Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588132856 PECOS PAC ID: 9234475526 Enrollment ID: O20190108000545 |
| Mailing Address | Practice Location Address |
|---|---|
| David Heaton, 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (808) 433-3707 | David Heaton, 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: (808) 433-3707 |
Mark Baldeshwiler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 888-683-2778 | |
Nathan Kwon, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Matthew D Monaco, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 888-683-2778 | |
Alexander Stephen Borges, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Amc, HI 96859 Phone: 808-433-3707 | |
Dr. Peter Bulkley Woollett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. Douglas Jerome Waffen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 | |
Dr. John Edward Mallon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center Attn:mchk-qs, Tripler Amc, HI 96859 Phone: 808-433-2460 Fax: 808-433-1558 |