| Jan V Levitan, MD | |
|
67-1125 Mamalahoa Hwy, Kamuela, HI 96743-8496 | |
| (808) 881-4880 | |
| Not Available |
| Full Name | Jan V Levitan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 67-1125 Mamalahoa Hwy, Kamuela, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528044922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35.090752 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD-7319 (Hawaii) | Primary |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20071115000377 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487952354 PECOS PAC ID: 1850203555 Enrollment ID: O20110406000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan V Levitan, MD 59-320 Pualele Pl, Kamuela, HI 96743-8530 Ph: (808) 880-9789 | Jan V Levitan, MD 67-1125 Mamalahoa Hwy, Kamuela, HI 96743-8496 Ph: (808) 881-4880 |
Dr. George R Ainge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 62-2209 Ouli St, Kamuela, HI 96743 Phone: 808-885-6739 | |
Dr. Nicholas David Kennedy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 67-1125 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-881-4880 | |
Dr. Roger D Fellows, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 67-1125 Mamalahoa Hwy, Kamuela, HI 96743 Phone: 808-881-4881 | |
Dr. David Dean Sonne, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 68-1125 N Kaniku Dr, 1605, Kamuela, HI 96743 Phone: 808-887-0827 |