Rebecca S Bicker, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Wailuku, HI

NPI 1679626253 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1679626253
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
MD-6871 (HI)
Practice address
80 Mahalani St
Wailuku, HI 96793-2531
Phone
(808) 243-6000
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-6871HIMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-6871 HI Yes

Addresses

Primary practice location

80 Mahalani St
Wailuku, HI 96793-2531

Mailing address

80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000

Other identifiers

IdentifierTypeStateIssuer
069068-01MedicaidHI
0000089623OtherHIHMSA BILLING NUMBER

Other providers in Wailuku, HI

All providers in Wailuku, HI · Obstetrics & Gynecology Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.