| Eliot A Demello, MD | |
|
4643 Waimea Canyon Rd, Waimea, HI 96796 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Eliot A Demello |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 46 Years |
| Location | 4643 Waimea Canyon Rd, 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 |
|---|---|---|---|
| 1134165301 | NPI | - | NPPES |
| 56214644596746A011 | Other | HI | TRICARE |
| 56214644596796A020 | Other | HI | TRICARE |
| 00298003 | Medicaid | HI | |
| 00298009 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD4005 (Hawaii) | Secondary |
| 207L00000X | Anesthesiology | MD-4005 (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 | 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 | Kapiolani Medical Center For Women & Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548215692 PECOS PAC ID: 9830097914 Enrollment ID: O20031229000149 |
| Entity Name | Hawaii Emergency Physicians Associated Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801843198 PECOS PAC ID: 2860390283 Enrollment ID: O20040127001137 |
| 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 | Medstream Anesthesia Hawaii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346621190 PECOS PAC ID: 6002120599 Enrollment ID: O20150728004957 |
| Mailing Address | Practice Location Address |
|---|---|
| Eliot A Demello, MD Po Box 869, Waianae, HI 96792-0869 Ph: (904) 805-1300 | Eliot A Demello, MD 4643 Waimea Canyon Rd, Waimea, HI 96796 Ph: (904) 805-1300 |
Dr. Michael A Clark, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4643 Waimea Canyon Drive, Waimea, HI 96796 Phone: 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 |