Dr Jung K Park, MD | |
11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 | |
(602) 248-8002 | |
(602) 248-8399 |
Full Name | Dr Jung K Park |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 11209 N Tatum Blvd, Phoenix, Arizona |
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 |
---|---|---|---|
1700834777 | NPI | - | NPPES |
1Z7049 | Other | AZ | HEALTHNET |
AZ0324990 | Other | AZ | BCBS |
431726 | Other | AZ | AHCCCS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | F91378 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chandler Regional Medical Center | Chandler, AZ | Hospital |
Mercy Gilbert Medical Center | Gilbert, AZ | Hospital |
John C. Lincoln North Mountain Hospital | Phoenix, AZ | Hospital |
Dignity Health Arizona General Hospital | Mesa, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chandler Radiology Associates Llc | 4183600877 | 39 |
Entity Name | Chandler Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386602076 PECOS PAC ID: 4183600877 Enrollment ID: O20040624001184 |
Mailing Address | Practice Location Address |
---|---|
Dr Jung K Park, MD Po Box 14687, Scottsdale, AZ 85267-4687 Ph: (480) 991-8100 | Dr Jung K Park, MD 11209 N Tatum Blvd, Suite #110, Phoenix, AZ 85028-3091 Ph: (602) 248-8002 |
Donald A Tobias, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 97 Biltmore Est, Phoenix, AZ 85016 Phone: 602-956-3209 | |
Daniel Fosu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 16220 N 7th St Apt 2136, Phoenix, AZ 85022 Phone: 480-469-0283 | |
Sanford Ornstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-4058 | |
Dr. Abhilash P Nambiar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4611 E Shea Blvd Ste 120, Phoenix, AZ 85028 Phone: 602-441-3845 | |
Dr. Tilina N. Hu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Thomas Rd, Radiology Department, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 | |
Alicia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Joel James Hayden, MD Radiology Medicare: Medicare Enrolled Practice Location: 350 W Thomas Rd, Phoenix, AZ 85013 Phone: 602-406-3430 Fax: 602-406-2340 |