Matthew Kolosky, DO | |
79-1019 Haukapila St, Kealakekua, HI 96750-7920 | |
(808) 322-9311 | |
Not Available |
Full Name | Matthew Kolosky |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 79-1019 Haukapila St, Kealakekua, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023459211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | DOS1835 (Hawaii) | Primary |
Entity Name | Banner Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205267549 PECOS PAC ID: 9537078365 Enrollment ID: O20140604002057 |
Entity Name | Valley Childrens Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437555265 PECOS PAC ID: 9032439336 Enrollment ID: O20150528001593 |
Mailing Address | Practice Location Address |
---|---|
Matthew Kolosky, DO 3619 Nw Adriatic Ln, Jensen Beach, FL 34957-3112 Ph: () - | Matthew Kolosky, DO 79-1019 Haukapila St, Kealakekua, HI 96750-7920 Ph: (808) 322-9311 |
Dr. Raphael Hector Buencamino, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 79-1019 Haukapila St, Kealakekua, HI 96750 Phone: 808-322-9311 Fax: 808-322-4040 | |
Paul J Ferreira, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 81-6627 Mamalahoa Hwy, Kealakekua, HI 96750 Phone: 808-323-8005 |