Sean Gregory Scully, is a
Nurse Practitioner - Family based in Ewa, Hawaii. Sean Gregory Scully is licensed to practice in Hawaii (license number 2565) and his current practice location is
91-590 Farrington Highway #300, Ewa, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 674-0269.
NPI number for Sean Gregory Scully is 1265400899 and his current mailing address is 1245 Kuala St, Pearl City, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265400899.
Provider's Profile
| Full Name | Sean Gregory Scully |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 91-590 Farrington Highway #300, Ewa, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265400899
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 06/04/2020
Medical Identifiers
Medical identifiers for Sean Gregory Scully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265400899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 2565 (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. Sean Gregory Scully 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 |
|---|
Sean Gregory Scully,
1245 Kuala St,
Pearl City, HI 96782-3900
Ph: (808) 784-2273 | Sean Gregory Scully,
91-590 Farrington Highway #300,
Ewa, HI 96707
Ph: (808) 674-0269 |
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