| Dr Holly Marie Poag, DO | |
|
2829 Ala Kalanikaumaka St., Ste.b201, Koloa, HI 96756 | |
| (808) 742-0999 | |
| (808) 742-0990 |
| Full Name | Dr Holly Marie Poag |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 2829 Ala Kalanikaumaka St., Koloa, Hawaii |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376755330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101016537 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | DOS-1820 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Samuel Mahelona Memorial Hospital | Kapaa, HI | Hospital |
| Wilcox Memorial Hospital | Lihue, HI | Hospital |
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Samuel Mahelona Memorial Hospital | 1759271216 | 43 |
| Maui Memorial Emergency Medical Associates Inc | 7618224981 | 20 |
| Entity Name | Straub Clinic & Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306508 PECOS PAC ID: 6305759754 Enrollment ID: O20031111000417 |
| 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 | Kauai Veterans Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467510743 PECOS PAC ID: 7911805114 Enrollment ID: O20040128000796 |
| Entity Name | Samuel Mahelona Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346419553 PECOS PAC ID: 1759271216 Enrollment ID: O20040318000116 |
| Entity Name | Maui Health System A Kaiser Foundation Hospitals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013379460 PECOS PAC ID: 9830476159 Enrollment ID: O20170725002612 |
| Entity Name | Maui Memorial Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326531773 PECOS PAC ID: 7618224981 Enrollment ID: O20180717003735 |
| Entity Name | Hawaii Health Systems Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679045124 PECOS PAC ID: 4688908924 Enrollment ID: O20190620001532 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Holly Marie Poag, DO Po Box 669, Atten: Rhonelle C Aceret, Waimea, HI 96796-0669 Ph: (808) 240-2723 | Dr Holly Marie Poag, DO 2829 Ala Kalanikaumaka St., Ste.b201, Koloa, HI 96756 Ph: (808) 742-0999 |
Dr. Joseph W. Burris Jr., M.D., MPH Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2585 Waho St, Koloa, HI 96756 Phone: 808-346-3324 |