Dr Darrel Wayn Killebrew, DO is a
Emergency Medicine physician based in Pahala, Hawaii. Dr Darrel Wayn Killebrew is licensed to practice in Hawaii (license number DOS-376) and his current practice location is 1 Kamani Street, Pahala, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 928-2050.
NPI number for Dr Darrel Wayn Killebrew is 1033177605 and his current mailing address is 15021 N 10th St, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033177605.
Physician's Profile
| Full Name | Dr Darrel Wayn Killebrew |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1 Kamani Street, Pahala, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033177605
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 08/16/2007
Medical Identifiers
Medical identifiers for Dr Darrel Wayn Killebrew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033177605 | NPI | - | NPPES |
| 263681 | Other | HI | HMSA |
| 58799101 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | DOS-376 (Hawaii) | Primary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 2066 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Darrel Wayn Killebrew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Darrel Wayn Killebrew, DO
15021 N 10th St,
Phoenix, AZ 85022-3739
Ph: () - | Dr Darrel Wayn Killebrew, DO
1 Kamani Street,
Pahala, HI 96777
Ph: (808) 928-2050 |
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