| Dr Michael A Clark, MD | |
|
4643 Waimea Canyon Drive, Waimea, HI 96796 | |
| (808) 338-9431 | |
| Not Available |
| Full Name | Dr Michael A Clark |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 15 Years |
| Location | 4643 Waimea Canyon Drive, Waimea, 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 |
|---|---|---|---|
| 1639374523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 16124 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kauai Veterans Memorial Hospital | Waimea, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kauai Veterans Memorial Hospital | 7911805114 | 17 |
| 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 | Hawaii Anesthesia Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548336183 PECOS PAC ID: 7012807928 Enrollment ID: O20040316000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Clark, MD Po Box 1041, Koloa, HI 96756-1041 Ph: (423) 202-8790 | Dr Michael A Clark, MD 4643 Waimea Canyon Drive, Waimea, HI 96796 Ph: (808) 338-9431 |
Robert Joseph Millard, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4643 Waimea Canyon Drive, Kauai Veterans Memorial Hospital, Waimea, HI 96796 Phone: 808-338-9444 Fax: 808-338-9235 |