Dr Brian Duke Park, MD | |
2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | |
(916) 262-9400 | |
(916) 262-9399 |
Full Name | Dr Brian Duke Park |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 20 Years |
Location | 2725 Capitol Ave Dept 402, Sacramento, California |
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 |
---|---|---|---|
1508918616 | NPI | - | NPPES |
14QW7 | Other | FL | BLUE CROSS BLUE SHIELD |
009175600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | ME 115350 (Florida) | Secondary |
2086S0129X | Surgery - Vascular Surgery | A97247 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Sutter Davis Hospital | Davis, CA | Hospital |
Sutter Amador Hospital | Jackson, CA | Hospital |
Marshall Medical Center | Placerville, CA | Hospital |
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Duke Park, MD 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Dr Brian Duke Park, MD 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 Ph: (916) 262-9400 |
Dr. Vijay P Khatri, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4501 X St, Uc Davis Cancer Center, Suite 3010, Sacramento, CA 95817 Phone: 916-734-2172 Fax: 916-731-5706 | |
Dr. Rebecca Anne Stark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2521 Stockton Blvd, Ucdmc Glassrock Peds. Surgery - Suite 3200, Sacramento, CA 95817 Phone: 916-734-3229 | |
Dr. Garth Utter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd. - Department Of Surgery, Naob 5th Floor - Trauma, Sacramento, CA 95817 Phone: 916-734-1768 Fax: 916-734-7821 | |
Rachael A Callcut, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd, Naob, Suite 5006, Sacramento, CA 95817 Phone: 650-723-0173 | |
Dr. Diana L. Farmer, MD Surgery Medicare: Medicare Enrolled Practice Location: 2221 Stockton Blvd., Cypress #3112, Sacramento, CA 95817 Phone: 916-734-3190 Fax: 916-734-5119 | |
Dr. Matthew Malcolm Pier, MD Surgery Medicare: Medicare Enrolled Practice Location: 4150 V Street, Pssb 1200, Sacramento, CA 95817 Phone: 916-734-5026 | |
Sarah Childs, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4150 V Street Pssb, Suite 1200, Sacramento, CA 95817 Phone: 916-734-5028 |