| Rory Mack Ruskovich, PA-C | |
|
91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 | |
| (808) 691-8200 | |
| Not Available |
| Full Name | Rory Mack Ruskovich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, 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 |
|---|---|---|---|
| 1679199863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AMD-998 (Hawaii) | Primary |
| 133V00000X | Dietitian, Registered | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Queens University Medical Group | 2466831557 | 614 |
| Entity Name | Waikiki Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679646509 PECOS PAC ID: 9335058536 Enrollment ID: O20040521000013 |
| Entity Name | Queens University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891441382 PECOS PAC ID: 2466831557 Enrollment ID: O20220621000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Rory Mack Ruskovich, PA-C 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 | Rory Mack Ruskovich, PA-C 91-6390 Kapolei Pkwy Ste 200, Ewa Beach, HI 96706-6380 Ph: (808) 691-8200 |
Kimberly Unten, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 91-1031 Waikapoo St, Ewa Beach, HI 96706 Phone: 336-420-0660 |
Eva Shear, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706 Phone: 808-676-5331 Fax: 808-671-2931 |
Brooklynne Elizabeth Barnhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 91-1082 Kekaiholo St, Ewa Beach, HI 96706 Phone: 615-766-2345 |
Hilda Vigil, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 91-1144 Paapaana St, Ewa Beach, HI 96706 Phone: 951-581-9699 |