Dr Shallon Tore Craddock, MD, MPH in Hilo, HI

Dr Shallon Tore Craddock, MD, MPH is a medicare enrolled "Pediatrics" physician in Hilo, Hawaii. Her current practice location is 199 Ululani St, Hilo, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 315-1886.

Dr Shallon Tore Craddock is licensed to practice in Hawaii (license number 17956) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700088846.

Contact Information

	Dr Shallon Tore Craddock, MD, MPH
	199 Ululani St, Hilo, HI 96720-2930
	(808) 315-1886
	(808) 935-9259

Map and Direction

Physician's Profile

Full Name	Dr Shallon Tore Craddock
Gender	Female
Speciality	Pediatrics
Location	199 Ululani St, Hilo, Hawaii
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700088846
Provider Enumeration Date: 06/01/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9931388121
Enrollment ID: I20150413000161

Medical Identifiers

Medical identifiers for Dr Shallon Tore Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700088846	NPI	-	NPPES
1574708	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7298 (Alaska)	Secondary
208000000X	Pediatrics	17956 (Hawaii)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shallon Tore Craddock allows following entities to bill medicare on her behalf.

Entity Name	Hilo Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962584060 PECOS PAC ID: 1254422900 Enrollment ID: O20070809000268

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shallon Tore Craddock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shallon Tore Craddock, MD, MPH 2250 Kaumana Dr, Hilo, HI 96720-1316 Ph: (808) 315-1519	Dr Shallon Tore Craddock, MD, MPH 199 Ululani St, Hilo, HI 96720-2930 Ph: (808) 315-1886

Reviews and Comments

Pediatrics Doctors in Hilo, HI

Dr. Wanda G Meurs, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Pauahi Street, Suite #305, Hilo, HI 96720 Phone: 808-969-3222 Fax: 808-961-0046
Dr. Miki A Cain, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1292 Waianuenue Ave, Hilo, HI 96720 Phone: 808-734-8400
Dr. Brenda M K Camacho, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 183 Mohouli Street, Hilo, HI 96720 Phone: 808-935-1621 Fax: 808-935-5959
Dr. Michael Treece, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1178 Kinoole St, Hilo, HI 96720 Phone: 808-961-4082
Dr. Brian J Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 275 Ponahawai St, Suite 106, Hilo, HI 96720 Phone: 808-961-0022 Fax: 808-969-3852
Dr. Ty Jordan Tsuji De Silva, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 183 Mohouli St, Hilo, HI 96720 Phone: 808-935-1621
Dr. Joseph A D'angelo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 460 Kilauea Ave Ste 103, Hilo, HI 96720 Phone: 808-333-3600 Fax: 808-933-2983

Dr Shallon Tore Craddock, MD, MPH - Medicare Pediatrics in Hilo, HI