Dr Alyssa Marie Park, MD | |
100 N Academy Ave, Danville, PA 17822-1032 | |
(570) 271-6328 | |
(570) 271-6955 |
Full Name | Dr Alyssa Marie Park |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 18 Years |
Location | 100 N Academy Ave, Danville, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336428440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD457758 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger Medical Center | Danville, PA | Hospital |
Geisinger-bloomsburg Hospital | Bloomsburg, PA | Hospital |
Geisinger Wyoming Valley Medical Center | Wilkes barre, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Mailing Address | Practice Location Address |
---|---|
Dr Alyssa Marie Park, MD 660 S Euclid Ave, C B 8242, Saint Louis, MO 63110-1010 Ph: (314) 362-8200 | Dr Alyssa Marie Park, MD 100 N Academy Ave, Danville, PA 17822-1032 Ph: (570) 271-6328 |
Dr. Joel M. Sumfest, M.D. Urology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 | |
Moira E Dwyer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6578 | |
Dr. Brant R. Fulmer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 North Academy Ave., Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 | |
Dr. Heinric Williams, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 | |
Dr. Robert Eric Steckler, M.D. Urology Medicare: Medicare Enrolled Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 | |
Dr. Ryan Lee Mori, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 N Academy Ave, Danville, PA 17822 Phone: 570-271-6328 Fax: 570-271-6955 |