About...

• Name: John M. Doe
  
  94-397 Palmer Blvd
  Waikele, HI 96797
  808-515-7123
  
  Nickname: Mac
• Date of Birth: 16 August 1977
  Current Age: 47 Years, 91 Days
  
• Blood Type: AB-
  Blood Donor: Yes
  Organ Donor: Yes
  
• Advanced Directive: None On File
  
• DNR Order: None On File
  
• Hospital Preference 1st:
  
  Queen's Medical Center
  Honolulu, HI
  
  Hospital Preference 2nd:
  
  No Preference Made or
  Preference Data Incomplete
  
  
• Doctor: Dr. Mie Panda
  
  94-428 2nd Ave
  Mililani, Hi 96789
  Phone #: 808-515-5746
  
  
• Insurance: Aloha Med
  
  Member: John Doe
  Medicaid #: 2511A971
  PCP: Dr. Mie Panda
  PCP Phone #: 808-515-5746
  Effective: 01 July 2019
  Aloha Med #: 777747771
  Kamaaina Plan
  
  RxBIN: 77471
  RxPCN: AZ
  RxGRP: LMNO
  
  Submit Medical Claims To:
  

  Aloha Med
  P.O. Box 56789
  Makakilo, HI
  96767-6789
• 
  
  Data Updated:
  
  12 August 2022
  
  Documents Updated:
  12 August 2022

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