| Tamsyn Kellough, | |
|
2180 Main St, Wailuku, HI 96793-1625 | |
| (808) 249-8080 | |
| Not Available |
| Full Name | Tamsyn Kellough |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2180 Main St, Wailuku, Hawaii |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770143026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maui Medical Group Inc | 7214823368 | 68 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamsyn Kellough, 270 Palama Dr, Kahului, HI 96732-1450 Ph: (740) 708-2069 | Tamsyn Kellough, 2180 Main St, Wailuku, HI 96793-1625 Ph: (808) 249-8080 |
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 |