| Krista R Gorman, PA-C | |
|
55 Maui Lani Pkwy, Wailuku, HI 96793-2416 | |
| (808) 243-6050 | |
| Not Available |
| Full Name | Krista R Gorman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 55 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 |
|---|---|---|---|
| 1922167550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AMD-1025 (Hawaii) | Primary |
| 363A00000X | Physician Assistant | PA9101480 (Florida) | Secondary |
| Entity Name | Adventist Health System Sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Restore Medical Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891148250 PECOS PAC ID: 1951682426 Enrollment ID: O20161227000510 |
| Entity Name | Urgent Care Centers of Brevard County LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295367290 PECOS PAC ID: 6002238714 Enrollment ID: O20200626000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista R Gorman, PA-C 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 243-6050 | Krista R Gorman, PA-C 55 Maui Lani Pkwy, Wailuku, HI 96793-2416 Ph: (808) 243-6050 |
Mr. Arthur Ruben Sakakihara - Chavarria, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 |
Mr. Simon Damian Hill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 |
Ms. Pamela D. Wolz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 Fax: 808-242-4292 |
Judy Lavenson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-6464 |
Rebeka Lyn Coleman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-4267 |
Mrs. Jessica Sage Blank Mendonsa, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 Kaohu St, Wailuku, HI 96793 Phone: 808-377-4734 Fax: 808-377-4734 |
Mr. Philip Michael Tongg Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Main St, Wailuku, HI 96793 Phone: 808-242-4267 Fax: 808-242-4292 |