Kagman Community Health Center Inc
A Medicare group practice based in Saipan, MP: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6002171659), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6002171659
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- MP
- Enrollments
- 2
- Group size
- 10 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180719001783 | MP | Part A Provider - Federally Qualified Health Center (FQHC) | 1770002446 |
| O20210916000735 | MP | Part B Supplier - Clinic/Group Practice | 1770002446 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Kagman Community Health Center Inc
dba Kagman Community Health Center
- Federally Qualified Health Center (FQHC)
- Saipan, MP
- NPI 1770002446
-
Kagman Community Health Center Inc
dba Tinian Isla Community Health
- Federally Qualified Health Center (FQHC)
- Tinian, MP
- NPI 1891326070
-
Kagman Community Health Center, Inc.
dba Southern Isla Community Health
- Federally Qualified Health Center (FQHC)
- Saipan, MP
- NPI 1174225486
Practice locations
- Saipan, MP3
- Tinian, MP1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (10).
-
Alexander Johanson, PA-C
- Medical Physician Assistant
- Saipan, MP
- NPI 1386981355
-
Jihyun Kim
- Psychiatric/Mental Health Nurse Practitioner
- Saipan, MP
- NPI 1093326944
-
Daniel Caine Lamar, M.D.
- Family Medicine Physician
- San Jose, MP
- NPI 1275594517
-
Aurelia G Mendiola Long, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Tinian, MP
- NPI 1619182565
-
Keith Leonard Longuski, PA-C, ATC
- Physician Assistant
- NPI 1205091535
-
Leticia Dedumo Reyes, NPC
- Family Nurse Practitioner
- Saipan, MP
- NPI 1760838585
-
Roca Quitugna Sablan, RN BSN CNMNP
- Women's Health Nurse Practitioner
- Saipan, MP
- NPI 1982880449
-
Mohamed K Salhi, MD, MBA / SENIOR-AME
- Internal Medicine Physician
- Saipan, MP
- NPI 1538691753
-
Anthony Richard Stearns, MD
- Family Medicine Physician
- Saipan, MP
- NPI 1720126253
-
Priyantha S Wijayagunaratne, MD
- General Practice Physician
- Saipan, MP
- NPI 1710012851
-
Jason Willis, MD
- Internal Medicine Physician
- Ardmore, OK
- NPI 1679603153
-
Tiffany Willis, MD
- Family Medicine Physician
- Marengo, IA
- NPI 1750370383
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.