Individual ProviderSusan ChapmanObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address642 Ulukahiki St, Ste 305, Kailua, HI 96734-4400(808) 261-6644PECOS EnrollmentBased on the most recent information from CMS, provider Susan Chapman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1316934698Provider TypeIndividualFull NameChapman, SusanCredentialMDGenderFemaleSole ProprietorYesEnumeration Date10/3/2005Last Updated8/7/2008Contact InformationPractice LocationPractice Address642 Ulukahiki St, Ste 305, Kailua, HI 96734-4400Phone(808) 261-6644Fax(808) 261-6645Mailing LocationMailing Address642 Ulukahiki St, Ste 305, Kailua, HI 96734-4400Phone(808) 261-6644Fax(808) 261-6645Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseMD4609HawaiiProvider IdentifiersIDDescriptionIssuerID00210501DescriptionMedicaidIssuerUnlistedHawaiiIDB016259DescriptionOtherIssuerHMSAID192256DescriptionOtherIssuerSUMMERINIDMD4609DescriptionOtherIssuerQUEENSID867DescriptionOtherIssuerALOHACARE