| Dr Gale Rolland Beardsley Jr, MD | |
|
1629 Wilder Ave Apt 704, Honolulu, HI 96822-4666 | |
| (808) 721-7278 | |
| (808) 207-3799 |
| Full Name | Dr Gale Rolland Beardsley Jr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1629 Wilder Ave Apt 704, Honolulu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790789600 | NPI | - | NPPES |
| 04758501 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD4083 (Hawaii) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G151697 (California) | Primary |
| Entity Name | County Of Butte |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578623583 PECOS PAC ID: 3779489356 Enrollment ID: O20031212000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gale Rolland Beardsley Jr, MD 1629 Wilder Ave Apt 704, Honolulu, HI 96822-4666 Ph: (808) 721-7278 | Dr Gale Rolland Beardsley Jr, MD 1629 Wilder Ave Apt 704, Honolulu, HI 96822-4666 Ph: (808) 721-7278 |
Sohee Ki, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1356 Lusitana St Fl 4, Honolulu, HI 96813 Phone: 808-586-2903 | |
Dr. Robert C. Pedersen, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2828 Paa St, Honolulu, HI 96819 Phone: 808-432-5777 | |
Dr. David H.f. Tom, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Ward Ave, Suite 840, Honolulu, HI 96814 Phone: 808-522-4521 Fax: 808-522-3526 | |
Dr. Beau K. Nakamoto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 888 S King St, Honolulu, HI 96813 Phone: 808-522-4000 Fax: 808-522-4437 | |
Dr. Christina S Hines, MD., PH.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 459 Patterson Rd, Honolulu, HI 96819 Phone: 808-433-0320 | |
Daniel A. Alicata, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1356 Lusitana St, 4th Floor, Honolulu, HI 96813 Phone: 808-586-2900 | |
Dr. Isaac Wentz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1301 Punchbowl St, Honolulu, HI 96813 Phone: 808-691-1000 |