| Jayne Ryder Stevens, MD | |
|
1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 | |
| (808) 433-3169 | |
| Not Available |
| Full Name | Jayne Ryder Stevens |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 1 Jarrett White Rd, Tripler Army Medical Center, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447517560 | NPI | - | NPPES |
| VAD000 | Other | MEDICARE UPN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 27671 (Nebraska) | Secondary |
| 207Y00000X | Otolaryngology | 4301111259 (Michigan) | Primary |
| Entity Name | The Queens Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayne Ryder Stevens, MD 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 Ph: (210) 916-0976 | Jayne Ryder Stevens, MD 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Ph: (808) 433-3169 |
Sean Paul Chislett, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5334 | |
Dr. Macario Camacho Jr., M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5334 | |
Ashlie Gail Bloom, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-5334 | |
Dr. Caroline M Kolb, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-772-0901 | |
Dr. Paulus Darcy Tsai, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859 Phone: 808-433-3169 |