| Dr Sally M Bowles, MD | |
|
1881 Nani St, Wailuku, HI 96793-1811 | |
| (808) 871-7772 | |
| Not Available |
| Full Name | Dr Sally M Bowles |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1881 Nani St, Wailuku, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447471743 | NPI | - | NPPES |
| 0101-241665 | Other | VA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 0101-241665 (Virginia) | Secondary |
| 208000000X | Pediatrics | 16137 (Hawaii) | Primary |
| Entity Name | Community Clinic Of Maui, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528042561 PECOS PAC ID: 2466365440 Enrollment ID: O20040219000740 |
| Entity Name | Molokai Ohana Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770570780 PECOS PAC ID: 5698664530 Enrollment ID: O20130128000246 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sally M Bowles, MD 2740 Liholani St Unit 17, Makawao, HI 96768-8462 Ph: (808) 280-9185 | Dr Sally M Bowles, MD 1881 Nani St, Wailuku, HI 96793-1811 Ph: (808) 871-7772 |
Maria A. Matijasevic, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Douglas J Gamet, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6125 Fax: 808-243-6134 | |
David M. Bacchus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Garry Cameron, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4031 | |
Dr. David M. Ulin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Christina Efthimiadis Seeley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-793-8009 | |
Dr. Roxanne Bhattacharya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2385 |