| Gary Cruz Bernabe, MD | |
|
96799 Turner Drive, Pago Pago, AS 96799-9994 | |
| (684) 633-1222 | |
| (684) 633-4102 |
| Full Name | Gary Cruz Bernabe |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 96799 Turner Drive, Pago Pago, American Samoa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083174338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4115-C (American Samoa) | Primary |
| Entity Name | American Samoa Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Cruz Bernabe, MD Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Gary Cruz Bernabe, MD 96799 Turner Drive, Pago Pago, AS 96799-9994 Ph: (684) 633-1222 |
Jheommee Bejarin Politico, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Dr. Paul Turner Drive, 1 Dr. Paul Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 | |
Dr. Franklin A Payumo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 96799 Turner Drive, Pago Pago, AS 96799 Phone: 684-633-1222 Fax: 684-633-1869 | |
Dr. Jonetani Tawake, MOM Radiology Medicare: Not Enrolled in Medicare Practice Location: American Samoa Government, Box Lbj, Pago Pago, AS 96799 Phone: 684-633-1683 Fax: 684-633-5107 |