Ashley L Park, MD | |
1400 S Germantown Rd, Germantown, TN 38138-2205 | |
(901) 759-3100 | |
(901) 759-3196 |
Full Name | Ashley L Park |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 37 Years |
Location | 1400 S Germantown Rd, Germantown, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477540169 | NPI | - | NPPES |
Q016952 | Medicaid | TN | |
100156885 | Medicaid | MS | |
06629278 | Medicaid | MS | |
145915001 | Medicaid | AR | |
100156887 | Medicaid | MS | |
100156886 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 26245 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Baptist Memorial Hospital North Ms | Oxford, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Campbell Clinic Pc | 9638082076 | 142 |
Physiotherapy Associates Inc | 3577470442 | 503 |
Campbell Clinic Pc | 9638082076 | 142 |
Entity Name | Campbell Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216 |
Mailing Address | Practice Location Address |
---|---|
Ashley L Park, MD 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100 | Ashley L Park, MD 1400 S Germantown Rd, Germantown, TN 38138-2205 Ph: (901) 759-3100 |
Marcy Larson, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-830-6339 | |
Dr. John D Dockery, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 | |
Santos F Martinez, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1400 S Germantown Rd, Germantown, TN 38138 Phone: 901-759-3100 Fax: 901-759-3196 | |
Dr. Donald J Sullivan, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9639 Fox Hill Cir N, Germantown, TN 38139 Phone: 901-315-7932 | |
Mrs. Louise Anne Harper Dawkins, PT, MPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2059 S Houston Levee Rd Ste 117, Germantown, TN 38139 Phone: 901-221-9221 | |
Leland Berkwits, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2100 Exeter Rd # 200, Germantown, TN 38138 Phone: 901-260-6161 Fax: 901-259-7641 |