Dr Edward Park, DO | |
413 Lilly Rd Ne, Olympia, WA 98506-5133 | |
(360) 493-4083 | |
Not Available |
Full Name | Dr Edward Park |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 413 Lilly Rd Ne, Olympia, Washington |
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 |
---|---|---|---|
1396907317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | OP60694387 (Washington) | Secondary |
207R00000X | Internal Medicine | OP60694387 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Peter Hospital | Olympia, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Washington | 6709782600 | 387 |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
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Dr Edward Park, DO Po Box 3360, Portland, OR 97208-3360 Ph: () - | Dr Edward Park, DO 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 493-4083 |
Miss Tui Agaapapalagi Lauilefue, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889 | |
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089 | |
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408 | |
Mr. Robert Love Huck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878 | |
Dr. Ngozi Achebe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751 | |
Dr. Robert C Tomford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865 | |
Brad Allan Howard, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477 |