| Randy W Stark, MD | |
|
221 Mahalani St, Wailuku, HI 96793-2526 | |
| (808) 242-2343 | |
| (808) 242-2465 |
| Full Name | Randy W Stark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 221 Mahalani St, Wailuku, Hawaii |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710987664 | NPI | - | NPPES |
| 00A731860 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A73186 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maui Memorial Medical Center | Wailuku, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maui Memorial Emergency Medical Associates Inc | 7618224981 | 20 |
| Lanai Emergency Medical Associates Inc | 9739431354 | 6 |
| Entity Name | Maui Memorial Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326531773 PECOS PAC ID: 7618224981 Enrollment ID: O20180717003735 |
| Entity Name | Lanai Emergency Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902388085 PECOS PAC ID: 9739431354 Enrollment ID: O20181010000713 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy W Stark, MD 3916 State St, #300, Santa Barbara, CA 93105-5602 Ph: (805) 563-3011 | Randy W Stark, MD 221 Mahalani St, Wailuku, HI 96793-2526 Ph: (808) 242-2343 |
Dr. William T Eilert, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-879-6071 | |
William G Langston, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-242-2290 | |
Dr. Charles T Mitchell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-242-2290 | |
Dr. Jon S Jancaterino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Maui Memorial Medical Center, 221 Mahalani St, Wailuku, HI 96793 Phone: 808-242-2290 | |
Dr. Khadil Karim Hosein, M.D Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-442-5064 | |
Dr. Bien O. Lazatin Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Maui Lani Pkwy, Wailuku, HI 96793 Phone: 808-243-6050 | |
Dr. Daniel Brandes, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Mahalani St, Wailuku, HI 96793 Phone: 808-242-2290 |