388 YPAO RD
TAMUNING, GU 96913-3701 US PECOS Enrolled
Edwin Jess Supit
Internal Medicine Physician
- TAMUNING, GU
- Phone: (671)-646-8881
- Last Updated 6/1/2008
Overview
Edwin Jess Supit is a Internal Medicine Physician in the TAMUNING area and has over 28 years of experience. Edwin Jess Supit primary office location is at 388 YPAO RD and new patients are welcome to contact this healthcare provider for an appointment. He attended Loma Linda University School Of Medicine and graduated 1996
Edwin Jess Supit is affiliated with one hospital in the TAMUNING area, . The NPI number is 1518904812 and the information was updated approximately 16 years ago.
Edwin Jess Supit is affiliated with one medical group in the TAMUNING area, TAKECARE INSURANCE COMPANY INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M001421 | GU |
No Identifiers found
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | GU | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20170113001952 |
| PECOS Individual PAC ID: | 2466449863 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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