Dr Shallon Tore Craddock, MD, MPH - Medicare Pediatrics in Hilo, HI

Dr Shallon Tore Craddock, MD, MPH is a medicare enrolled "Pediatrics" physician in Hilo, Hawaii. Her current practice location is 199 Ululani St, Hilo, Hawaii. You can reach out to her office (for appointments etc.) via phone at (808) 315-1886.

Dr Shallon Tore Craddock is licensed to practice in Hawaii (license number 17956) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700088846.

Contact Information

Dr Shallon Tore Craddock, MD, MPH
199 Ululani St,
Hilo, HI 96720-2930
(808) 315-1886
(808) 935-9259



Physician's Profile

Full NameDr Shallon Tore Craddock
GenderFemale
SpecialityPediatrics
Location199 Ululani St, Hilo, Hawaii
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700088846
  • Provider Enumeration Date: 06/01/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931388121
  • Enrollment ID: I20150413000161

Medical Identifiers

Medical identifiers for Dr Shallon Tore Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700088846NPI-NPPES
1574708MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 7298 (Alaska)Secondary
208000000XPediatrics 17956 (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 Shallon Tore Craddock allows following entities to bill medicare on her behalf.
Entity NameHilo Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962584060
PECOS PAC ID: 1254422900
Enrollment ID: O20070809000268

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› Verified 1 days ago

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 Shallon Tore Craddock 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 Shallon Tore Craddock, MD, MPH
2250 Kaumana Dr,
Hilo, HI 96720-1316

Ph: (808) 315-1519
Dr Shallon Tore Craddock, MD, MPH
199 Ululani St,
Hilo, HI 96720-2930

Ph: (808) 315-1886

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Actress and philanthropist Holly Robinson Peete has partnered with The Mexican Hass Avocado Importers Association on a public service announcement inspiring adults to "lead by example" by making smart food choices their children can emulate. MHAIA's goal is to help reduce the incidence of childhood obesity by encouraging families to eat more fruits and vegetables.

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For sick or prematurely born babies spending their first days of life in a hospital's neonatal intensive care unit, the soothing voice and gentle touch of a loving parent can have a tremendous impact toward a positive outcome - that is, unless mom or dad's visit leaves the infant with something extra: a dangerous bacterial infection.

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Pediatrics Doctors in Hilo, HI

Dr. Wanda G Meurs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 120 Pauahi Street, Suite #305, Hilo, HI 96720
Phone: 808-969-3222    Fax: 808-961-0046
Dr. Miki A Cain, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1292 Waianuenue Ave, Hilo, HI 96720
Phone: 808-734-8400    
Dr. Brenda M K Camacho, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 183 Mohouli Street, Hilo, HI 96720
Phone: 808-935-1621    Fax: 808-935-5959
Dr. Michael Treece, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1178 Kinoole St, Hilo, HI 96720
Phone: 808-961-4082    
Dr. Brian J Wilson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 275 Ponahawai St, Suite 106, Hilo, HI 96720
Phone: 808-961-0022    Fax: 808-969-3852
Dr. Ty Jordan Tsuji De Silva, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 183 Mohouli St, Hilo, HI 96720
Phone: 808-935-1621    
Dr. Joseph A D'angelo, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 460 Kilauea Ave Ste 103, Hilo, HI 96720
Phone: 808-333-3600    Fax: 808-933-2983

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