| Larry P Ebbert, MD | |
|
85 Maui Lani Pkwy, Wailuku, HI 96793-2416 | |
| (808) 442-5700 | |
| (808) 442-5652 |
| Full Name | Larry P Ebbert |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 85 Maui Lani Pkwy, 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 |
|---|---|---|---|
| 1518058163 | NPI | - | NPPES |
| 0008428 | Other | SD | WELLMARK |
| 6002482 | Medicaid | SD | |
| 2083 | Other | SD | DAKOTACARE |
| 830007858 | Other | SD | RR MEDICARE |
| Entity Name | Specialty Physicians Of Blanchard Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689835415 PECOS PAC ID: 2668547613 Enrollment ID: O20080826000542 |
| Entity Name | Marion Area Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Larry P Ebbert, MD 6603 Elk Creek Rd, Piedmont, SD 57769-2032 Ph: (605) 484-1176 | Larry P Ebbert, MD 85 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 442-5700 |
Pamela D. Hope, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Joseph K Kamaka Iii, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 99 South Market Street, Wailuku, HI 96793 Phone: 808-244-5551 Fax: 808-242-0058 | |
Russell Garn, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-984-7434 | |
Margot J. Crandall, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-244-9056 | |
Dr. Nolan Arruda, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-243-2344 | |
Stephen A. Bangle, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Drosie E. Rosaro, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 |