Alyssa Marie Tagata, is a
Licensed Practical Nurse based in Ewa Beach, Hawaii. Alyssa Marie Tagata is licensed to practice in Hawaii (license number 18962) and her current practice location is
91-213 Kaieleele Pl, Ewa Beach, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 238-9011.
NPI number for Alyssa Marie Tagata is 1295399103 and her current mailing address is 91-213 Kaieleele Pl, Ewa Beach, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295399103.
Provider's Profile
| Full Name | Alyssa Marie Tagata |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 91-213 Kaieleele Pl, Ewa Beach, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295399103
- Provider Enumeration Date: 04/25/2019
- Last Update Date: 04/25/2019
Medical Identifiers
Medical identifiers for Alyssa Marie Tagata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295399103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 18962 (Hawaii) | 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. Alyssa Marie Tagata 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 |
|---|
Alyssa Marie Tagata,
91-213 Kaieleele Pl,
Ewa Beach, HI 96706-4617
Ph: (808) 238-9011 | Alyssa Marie Tagata,
91-213 Kaieleele Pl,
Ewa Beach, HI 96706-4617
Ph: (808) 238-9011 |
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