| Dr Jackyline Sanchez Prestosa, MD | |
|
91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 | |
| (808) 691-8200 | |
| Not Available |
| Full Name | Dr Jackyline Sanchez Prestosa |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003305749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MDR7492 (Hawaii) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD-22593 (Hawaii) | Primary |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Entity Name | Primary Care Physician Enterprise Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164054763 PECOS PAC ID: 0244661338 Enrollment ID: O20200505000681 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackyline Sanchez Prestosa, MD 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 | Dr Jackyline Sanchez Prestosa, MD 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 |
Leticia Garcia Diniega, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 91-2139 Fort Weaver Rd, Ste 201, Ewa Beach, HI 96706 Phone: 808-678-0878 Fax: 808-678-0818 | |
Dr. Richard S Oh, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 91-2139 Fort Weaver Rd Ste 309, Ewa Beach, HI 96706 Phone: 808-677-7793 Fax: 808-677-7868 |