| Mr John William Nickens, PA-C | |
|
480 Central Ave, Pearl Harbor, HI 96860-4908 | |
| (808) 366-2482 | |
| Not Available |
| Full Name | Mr John William Nickens |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 480 Central Ave, Pearl Harbor, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356998926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Maui Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215963970 PECOS PAC ID: 7214823368 Enrollment ID: O20040225000575 |
| Entity Name | RP Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982094652 PECOS PAC ID: 3779877485 Enrollment ID: O20160803001405 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John William Nickens, PA-C 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: (808) 474-4242 | Mr John William Nickens, PA-C 480 Central Ave, Pearl Harbor, HI 96860-4908 Ph: (808) 366-2482 |
Aaron Joseph Holzhauer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-496-3365 |
Karen Ann Nordine, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Nhlth Clinic Professional Affairs, Pearl Harbor, HI 96860 Phone: 916-276-5456 |
Sarah Zakaroff Reyes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 888-683-2778 |
Megan Mckenzie Byce, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-4242 |
Nicole Oakley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-474-4242 |
Jason Peters, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Pearl Harbor, HI 96860 Phone: 808-257-3365 Fax: 808-257-5653 |
Mr. Daniel Everett Bible, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Central Ave, Professional Affairs Coordinator, Pearl Harbor, HI 96860 Phone: 808-257-5041 Fax: 808-257-8549 |