| Jessica Green, | |
|
888 S King St, Honolulu, HI 96813-3097 | |
| (808) 522-4469 | |
| Not Available |
| Full Name | Jessica Green |
|---|---|
| Gender | Female |
| Speciality | Vascular Surgery |
| Experience | 12 Years |
| Location | 888 S King St, Honolulu, Hawaii |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023458700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MD-21050 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Straub Clinic And Hospital | Honolulu, HI | Hospital |
| Kaiser Foundation Hospital | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawaii Permanente Medical Group Inc | 7618880667 | 610 |
| Entity Name | Hawaii Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Green, 888 S King St, Honolulu, HI 96813-3097 Ph: (808) 522-4469 | Jessica Green, 888 S King St, Honolulu, HI 96813-3097 Ph: (808) 522-4469 |
Dr. Justin M. Galovich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3288 Moanalua Rd, Honolulu, HI 96819 Phone: 808-432-0000 | |
Dr. Cedric San Felipe Lorenzo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1329 Lusitana St Ste 304, Honolulu, HI 96813 Phone: 808-566-6723 | |
Dr. Elna M. Masuda, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 S King St, Honolulu, HI 96813 Phone: 808-522-4000 Fax: 808-522-4523 | |
Dr. Aaliyah Sevier-grogan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1356 Lusitana St Fl 6, Honolulu, HI 96813 Phone: 808-691-1000 | |
Dr. Patrick Paul Pedro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 S Beretania St, Suite #501, Honolulu, HI 96813 Phone: 808-528-4144 Fax: 808-525-6868 | |
Dr. Peter Halford, MD Surgery Medicare: Medicare Enrolled Practice Location: 1329 Lusitana, 706, Honolulu, HI 96813 Phone: 808-536-1107 Fax: 808-536-2931 |