Look up the most recent NPI and PECOS records

Susan M Vicenti

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

40 Aulike St, Suite 410, Kailua, HI 96734-2758

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN VICENTI.

Based on the most recent information from CMS, provider Susan M Vicenti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1588612147
Provider Type
Individual
Full Name
Vicenti, Susan M
Title
Dr.

Credential
MD
Gender
Female
Enumeration Date
5/5/2006
Last Updated
7/8/2007

Contact Information

Practice Location

40 Aulike St, Suite 410, Kailua, HI 96734-2758

(808) 261-3000

(808) 261-3303

Mailing Location

40 Aulike St, Suite 410, Kailua, HI 96734-2758

(808) 261-3000

(808) 261-3303

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 7824 Hawaii

Provider Identifiers

ID	Description	Issuer
ID 073127	Description Medicaid	Issuer Unlisted Hawaii

Susan M Vicenti

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Berger-Chen, Sloane

Bhattacharyya, Eesha R

Chapman, Susan

Windward Women'S Care, Llc

Daris, Christina

Pali Womens Health Center Inc

Awaya, Heather R.

Pangilinan, Michele Yamada

Koolau Womens Health Care Inc

Stickley, Emilie Katherine