| Mango Medical | |
|
64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743 | |
| (808) 769-5010 | |
| (808) 769-5208 |
| Full Name | Mango Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 64-1032 Mamalahoa Hwy, Kamuela, Hawaii |
| Authorized Official Name and Position | Timothy Duerler (PRESIDENT) |
| Authorized Official Contact | 8083516836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mango Medical 64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743 Ph: (808) 769-5010 | Mango Medical 64-1032 Mamalahoa Hwy Suite 306 Kamuela HI 96743 Ph: (808) 769-5010 |
| NPI Number | 1376837997 |
|---|---|
| Provider Enumeration Date | 05/31/2011 |
| Last Update Date | 09/25/2015 |
| Medicare PECOS PAC ID | 2062680861 |
|---|---|
| Medicare Enrollment ID | O20110721000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376837997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | (* (Not Available)) | Secondary |
| Provider Name | Adam J Gratz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598895351 PECOS PAC ID: 9335153725 Enrollment ID: I20060206000861 |
| Provider Name | Cindy O Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538117163 PECOS PAC ID: 3779599758 Enrollment ID: I20070206000580 |
| Provider Name | Amy J Duerler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184606899 PECOS PAC ID: 0446344105 Enrollment ID: I20080423000605 |
| Provider Name | Timothy S Duerler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053433441 PECOS PAC ID: 0547325854 Enrollment ID: I20090223000044 |
| Provider Name | Joshua Lessard-chaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437588969 PECOS PAC ID: 0244462695 Enrollment ID: I20140417000360 |
| Provider Name | Judith Casarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528127750 PECOS PAC ID: 8820002454 Enrollment ID: I20150410002042 |
| Provider Name | James Robert Brooks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700928082 PECOS PAC ID: 8729398920 Enrollment ID: I20151029002273 |
| Provider Name | Russell Parker |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1023167947 PECOS PAC ID: 5294992228 Enrollment ID: I20170130001471 |
| Provider Name | James Gilley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881602787 PECOS PAC ID: 2365414125 Enrollment ID: I20170130001666 |
| Provider Name | Carly Kaleo Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992206973 PECOS PAC ID: 4587925417 Enrollment ID: I20180309001124 |
| Provider Name | Amanda M Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285382168 PECOS PAC ID: 4981091741 Enrollment ID: I20220425002355 |
| Provider Name | Jenifer P. Aaronson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053607119 PECOS PAC ID: 5799007985 Enrollment ID: I20221129002315 |
Ron D Ah Loy Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-5188 Kinohou St, Kamuela, HI 96743 Phone: 808-887-0600 Fax: 808-887-6699 | |
Paniolo Pediatric And Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 64-1032 Mamalahoa Hwy Ste 204, Kamuela, HI 96743 Phone: 808-887-6543 Fax: 808-887-6294 | |
Mango Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743 Phone: 808-769-5010 | |
North Hawaii Hospitalist Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1158 Mamalahoa Hwy Ste 27b, Kamuela, HI 96743 Phone: 808-887-2808 Fax: 808-887-2838 | |
Hamakua Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65-1190 Mamalahoa Hwy, Suites 1, 2, 3 And 12, Kamuela, HI 96743 Phone: 808-775-7204 Fax: 808-775-9404 | |
Kaiser Hawaii Mobile Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67-1185 Mamalahoa Hwy Unit A, Waimea Clinic, Kamuela, HI 96743 Phone: 808-881-4500 | |
Waikoloa Medical Arts, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-1035 Mamalahoa Hwy, Suite K, Kamuela, HI 96743 Phone: 808-883-9785 Fax: 808-883-9783 |