Vickie Marie Fachinelli Portes, RN,CNP is a
Pediatrics based in Keaau, Hawaii. Vickie Marie Fachinelli Portes is licensed to practice in Hawaii (license number APRN-2904) and her current practice location is
16-192 Pili Mua St, Keaau, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 333-3600.
NPI number for Vickie Marie Fachinelli Portes is 1871759050 and her current mailing address is 75-5751 Kuakini Hwy Ste 203, Kailua Kona, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871759050.
Provider's Profile
| Full Name | Vickie Marie Fachinelli Portes |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
|---|
| Location | 16-192 Pili Mua St, Keaau, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871759050
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 07/19/2022
Medical Identifiers
Medical identifiers for Vickie Marie Fachinelli Portes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871759050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | R1399752 (Minnesota) | Secondary |
| 208000000X | Pediatrics | APRN-2904 (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. Vickie Marie Fachinelli Portes 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 |
Vickie Marie Fachinelli Portes, RN,CNP 75-5751 Kuakini Hwy Ste 203, Kailua Kona, HI 96740-1753 Ph: (808) 333-3600 | Vickie Marie Fachinelli Portes, RN,CNP 16-192 Pili Mua St, Keaau, HI 96749-8134 Ph: (808) 333-3600 |
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