Stacey L Prusky (NPI# 1649531112, PAC ID# 6800176371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649531112 |
| PAC ID by PECOS | 6800176371 |
| Professional Enrollment ID | I20161130000618 |
| Full Name | Stacey L Prusky |
| Organization Legal Name | MAKANA O KA OLA HEALTH AND WELLNESS CLINIC |
| Address |
1935 Main St Suite 102 Wailuku HI 96793-1784 |
| Phone Number | 8084423245 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810268489 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1935 Main St, Suite 102, Wailuku, HI 96793-1784 | 8084423245 | MAKANA O KA OLA HEALTH AND WELLNESS CLINIC |
| Organization Legal Name | MAKANA O KA OLA HEALTH AND WELLNESS CLINIC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Bird | Family Medicine | Makana O Ka Ola Health and Wellness Clinic | 1935 Main St, Suite 102, Wailuku, HI 96793-1784 |
| Street Address |
1935 MAIN ST SUITE 102 |
| City | WAILUKU |
| State | HI |
| Zip | 96793-1784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Troyer | Chiropractic | 1935 Main St, Cedar Falls, IA 50613-4213 | |
| William B Maclean | Otolaryngology | Permanente Medical Group Inc | 1935 Main St, Watsonville, CA 95076-3027 |
| Aurelio M Gonzalez | Family Medicine | Permanente Medical Group Inc | 1935 Main St, Watsonville, CA 95076-3027 |
| Robert A Bird | Family Medicine | Makana O Ka Ola Health and Wellness Clinic | 1935 Main St, Suite 102, Wailuku, HI 96793-1784 |
| Robert J Burns | Optometry | Permanente Medical Group Inc | 1935 Main St, Watsonville, CA 95076-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WAILUKU + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacey L Prusky.
| 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.