| Dr Douglas Jerome Waffen, MD | |
|
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 | |
| (808) 433-2460 | |
| (808) 433-1558 |
| Full Name | Dr Douglas Jerome Waffen |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 1 Jarrett White Rd, Tripler Amc, 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 |
|---|---|---|---|
| 1609858794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01080608A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 11266 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Hawaii Community Hospital | Kamuela, HI | Hospital |
| Ascension St Vincent Hospital | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawaii Emergency Physicians Associated Inc | 2860390283 | 97 |
| Entity Name | Hawaii Emergency Physicians Associated Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Jerome Waffen, MD 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-qs, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 | Dr Douglas Jerome Waffen, MD 1 Jarrett White Rd, Tripler Army Medical Center, Tripler Amc, HI 96859-5001 Ph: (808) 433-2460 |
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. 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 |