| Gabrielle A O'sullivan, MD | |
|
1881 Nani Street, Wailuku, HI 96793 | |
| (808) 871-7772 | |
| (808) 872-4036 |
| Full Name | Gabrielle A O'sullivan |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1881 Nani Street, 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 |
|---|---|---|---|
| 1295881332 | NPI | - | NPPES |
| 8370496 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-18414 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle A O'sullivan, MD 1881 Nani Street, Wailuku, HI 96793 Ph: (808) 871-7772 | Gabrielle A O'sullivan, MD 1881 Nani Street, Wailuku, HI 96793 Ph: (808) 871-7772 |
John G Meisel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Alla Shilman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-442-5503 Fax: 808-442-5512 | |
Dr. Bradley Holman Glenn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-244-5366 | |
Laura Kilofliski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-249-1904 | |
Dr. Guy M. Sugino, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Mauilani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Tammy Lefebvre, Family Medicine Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Kathleen Kearns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-871-7772 Fax: 808-872-4092 |