Michael Ryan Potter, DO is a
Student In An Organized Health Care Education/training Program physician based in Hilo, Hawaii. Michael Ryan Potter is licensed to practice in * (Not Available) (license number ) and current practice location is 1190 Waianuenue Ave, Hilo, Hawaii. can be reached at office (for appointments etc.) via phone at
(808) 932-3730.
NPI number for Michael Ryan Potter is 1720831613 and current mailing address is 1190 Waianuenue Ave, Hilo, Hawaii.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1720831613.
Physician's Profile
| Full Name | Michael Ryan Potter |
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| Gender | |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1190 Waianuenue Ave, Hilo, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720831613
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 06/11/2026
Medical Identifiers
Medical identifiers for Michael Ryan Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720831613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | DOS-2858 (Hawaii) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Ryan Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michael Ryan Potter, DO 1190 Waianuenue Ave, Hilo, HI 96720-2089 Ph: (808) 932-3730 | Michael Ryan Potter, DO 1190 Waianuenue Ave, Hilo, HI 96720-2089 Ph: (808) 932-3730 |
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