Brenna M Shackelford (NPI# 1033377833, PAC ID# 3870739568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1033377833 |
PAC ID by PECOS | 3870739568 |
Professional Enrollment ID | I20171121002485 |
Full Name | Brenna M Shackelford |
Organization Legal Name | HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC |
Address |
1190 Waianuenue Ave Hilo HI 96720-2089 |
Phone Number | 8089746800 |
Gender | F |
Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 2008 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 2860390283 |
Number of Group Practice Members | 37 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
120002 | MAUI MEMORIAL MEDICAL CENTER |
120028 | NORTH HAWAII COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1190 Waianuenue Ave, Hilo, HI 96720-2089 | 8089746800 | HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC |
628 7th St, Emergency Dept, Lanai City, HI 96763-0650 | 8085456411 | LANAI EMERGENCY MEDICAL ASSOCIATES INC |
221 Mahalani St, Wailuku, HI 96793-2526 | 8082449056 | MAUI MEMORIAL EMERGENCY MEDICAL ASSOCIATES INC |
Organization Legal Name | HAWAII EMERGENCY PHYSICIANS ASSOCIATED INC |
Physicians | 31 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelcy Gabriel Higa | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Michael M Fountain | Nurse Practitioner | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Crystal D Hammer | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Love Volkova | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 640 Ulukahiki St, Kailua, HI 96734-4454 |
Stephanie R Burger | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 640 Ulukahiki St, Kailua, HI 96734-4454 |
Daniel A Silverman | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Laura S Ruhland | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Maria F G Bevilacqua | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 640 Ulukahiki St, Kailua, HI 96734-4454 |
Holly M Poag | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 4643 Waimea Canyon Dr, Waimea, HI 96796 |
Joseph M Borer | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 640 Ulukahiki St, Kailua, HI 96734-4454 |
Street Address |
1190 WAIANUENUE AVE |
City | HILO |
State | HI |
Zip | 96720-2089 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel R Hudak | General Surgery | Hilo Medical Center | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Douglas J Rose | Family Medicine | Hilo Medical Center | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Jennifer Walker | Family Medicine | Hilo Medical Center | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Kelcy Gabriel Higa | Emergency Medicine | Hawaii Emergency Physicians Associated Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Jon V Martell | Family Medicine | Quantum Healthcare Medical Associates Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Francis J Cavanaugh Jr. | Internal Medicine | Quantum Healthcare Medical Associates Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Julie Soong | Anesthesiology | The Anesthesia Medical Group Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2089 |
Joy Sakai Wilson | Internal Medicine | Quantum Healthcare Medical Associates Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Adam Harris Adler | Family Medicine | Quantum Healthcare Medical Associates Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Tiffany Ma | Internal Medicine | Quantum Healthcare Medical Associates Inc | 1190 Waianuenue Ave, Hilo, HI 96720-2020 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Chrissy A Capati | Family Medicine | Life Care Physician Services LLC | 1333 Waianuenue Ave, Hilo, HI 96720-1202 |
Mark D Lipetz | Internal Medicine | Silversage Physician Services of Hawaii, Professional Corporation | 1333 Waianuenue Ave, Hilo, HI 96720-1202 |
Yashoda Bhaskar | Internal Medicine | Life Care Physician Services LLC | 1333 Waianuenue Ave, Hilo, HI 96720-1202 |
Frank D Lemes | Family Medicine | Silversage Physician Services of Hawaii, Professional Corporation | 1333 Waianuenue Ave, Hilo, HI 96720-1202 |
Linda S Gemer | Radiation Oncology | Hawaii Island Radiation Oncology Ltd | 1285 Waianuenue Ave, Hilo, HI 96720-1209 |
Kevin C Wilcox | Radiation Oncology | Hawaii Island Radiation Oncology Ltd | 1285 Waianuenue Ave, Hilo, HI 96720-1209 |
James T Lambeth | Radiation Oncology | Hawaii Island Radiation Oncology Ltd | 1285 Waianuenue Ave, Hilo, HI 96720-1209 |
Noemi L Arzaga | Nurse Practitioner | Hilo Medical Center | 1285 Waianuenue Ave, Hilo, HI 96720-1227 |
Mary L Groda Lewis | Family Medicine | Hilo Medical Center | 1285 Waianuenue Ave, Hilo, HI 96720-1227 |
Marc Andrew Albertson | Physician Assistant | Hawaii Permanente Medical Group Inc | 1292 Waianuenue Ave, Hilo, HI 96720-1228 |
Find all physicians in zip 96720 |
City | HILO |
Zip Code | 96720 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | HILO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Brenna M Shackelford.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.