Dr Robert Randolph Waterford, MD - Medicare Vascular Surgery in Kahului, HI

Dr Robert Randolph Waterford, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Kahului, Hawaii. He went to Stanford University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Vascular Surgery. His current practice location is 385 Hukilike St, Suite 210, Kahului, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 871-8346.

Dr Robert Randolph Waterford is licensed to practice in Hawaii (license number 15055) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376559203.

Contact Information

Dr Robert Randolph Waterford, MD
385 Hukilike St, Suite 210,
Kahului, HI 96732-3522
(808) 871-8346
(808) 871-8344



Physician's Profile

Full NameDr Robert Randolph Waterford
GenderMale
SpecialityVascular Surgery
Experience39 Years
Location385 Hukilike St, Kahului, Hawaii
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert Randolph Waterford attended and graduated from Stanford University School Of Medicine in 1985
  NPI Data:
  • NPI Number: 1376559203
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 02/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7113826629
  • Enrollment ID: I20090706000219

Medical Identifiers

Medical identifiers for Dr Robert Randolph Waterford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376559203NPI-NPPES
BW115YOtherHIMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 15055 (Hawaii)Secondary
2086S0129XSurgery - Vascular Surgery 15055 (Hawaii)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert Randolph Waterford allows following entities to bill medicare on his behalf.
Entity NamePacific Rim Cardiovascular Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891013199
PECOS PAC ID: 8325216732
Enrollment ID: O20110728000636

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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. Dr Robert Randolph Waterford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Robert Randolph Waterford, MD
Po Box 923,
Wailuku, HI 96793-0923

Ph: (808) 268-5789
Dr Robert Randolph Waterford, MD
385 Hukilike St, Suite 210,
Kahului, HI 96732-3522

Ph: (808) 871-8346

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Surgery Doctors in Kahului, HI

Samuel Dwight Lyons, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 33 Lono Ave Ste 250, Kahului, HI 96732
Phone: 808-866-5335    Fax: 808-866-5330

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