| Stuart Lerner, M.D. LLC | |
|
970 N Kalaheo Ave Ste C316 Kailua HI 96734-1883 | |
| (180) 895-4446 | |
| Not Available |
| Full Name | Stuart Lerner, M.D. LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 970 N Kalaheo Ave Ste C316, Kailua, Hawaii |
| Authorized Official Name and Position | Maryanne Mccloskey (MANAGER) |
| Authorized Official Contact | 8089544463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Lerner, M.D. LLC 970 N Kalaheo Ave Ste C316 Kailua HI 96734-1883 Ph: (180) 895-4446 | Stuart Lerner, M.D. LLC 970 N Kalaheo Ave Ste C316 Kailua HI 96734-1883 Ph: (180) 895-4446 |
| NPI Number | 1790032340 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 10/22/2021 |
| Certification Date | 10/22/2021 |
| Medicare PECOS PAC ID | 9830347186 |
|---|---|
| Medicare Enrollment ID | O20120912000343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790032340 | NPI | - | NPPES |
| 05844207 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD-6750 (Hawaii) | Primary |
| Provider Name | Stuart Lerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881647782 PECOS PAC ID: 2062432818 Enrollment ID: I20051123000200 |
| Provider Name | Christina Economos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861634412 PECOS PAC ID: 9638306384 Enrollment ID: I20131230000797 |
| Provider Name | Katherine Filbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538597612 PECOS PAC ID: 8729219209 Enrollment ID: I20140326001156 |
| Provider Name | Maryann LK Kaiwi-salvador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366943201 PECOS PAC ID: 6305100389 Enrollment ID: I20180426002537 |
| Provider Name | Jennifer Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548763121 PECOS PAC ID: 4688056740 Enrollment ID: I20230719003588 |
| Provider Name | Anna Franchesca Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477179018 PECOS PAC ID: 3476977711 Enrollment ID: I20241218003605 |
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