David Taegon Park, DO | |
100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096-3450 | |
(484) 572-6300 | |
(484) 572-6305 |
Full Name | David Taegon Park |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 15 Years |
Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
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 |
---|---|---|---|
1275766453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | OS017068 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
Riddle Memorial Hospital | Media, PA | Hospital |
Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Line Healthcare | 1951215201 | 907 |
Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
Entity Name | Main Line Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
Mailing Address | Practice Location Address |
---|---|
David Taegon Park, DO 100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096-3450 Ph: (484) 572-6300 | David Taegon Park, DO 100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096-3450 Ph: (484) 572-6300 |
Theodore Weiss, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, 116 Lankenau Medical Building South, Wynnewood, PA 19096 Phone: 610-649-7006 | |
Dr. Stephen Michael Gollomp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Suite 161, Wynnewood, PA 19096 Phone: 610-642-5371 Fax: 610-642-5658 | |
Dr. Firouzeh Safainili, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 508 Parkview Dr, Wynnewood, PA 19096 Phone: 610-642-2604 | |
Howard Joel Caplan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Suite 256 Lankenau Mob East, Wynnewood, PA 19096 Phone: 484-572-6300 Fax: 484-572-6305 | |
Dr. Norman Scott Stehle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 100 East Lancaster Avenue, Medical Office Building, Wynnewood, PA 19096 Phone: 610-649-0561 | |
Dr. Alan Ross Wofsey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 E Lancaster Ave, Suite 566, Wynnewood, PA 19096 Phone: 610-649-3070 Fax: 610-527-7415 |