Dr Ken H Park, MD | |
1624 Mars Hill Rd Ste B, Watkinsville, GA 30677-4813 | |
(706) 310-1030 | |
Not Available |
Full Name | Dr Ken H Park |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 1624 Mars Hill Rd Ste B, Watkinsville, Georgia |
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 |
---|---|---|---|
1245214402 | NPI | - | NPPES |
00904197A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 050049 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health | Elberton, GA | Home health agency |
Amedisys Home Health Of Covington | Covington, GA | Home health agency |
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
St Mary's Hospital | Athens, GA | Hospital |
Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oconee Primary Care, L.l.c. | 4981749470 | 2 |
Entity Name | Oconee Primary Care, L.l.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275860900 PECOS PAC ID: 4981749470 Enrollment ID: O20100309000298 |
Mailing Address | Practice Location Address |
---|---|
Dr Ken H Park, MD 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 Ph: (706) 310-1030 | Dr Ken H Park, MD 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677-4813 Ph: (706) 310-1030 |
Dr. Akhila Madala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 Fax: 706-552-1801 | |
Julio Ernesto Pena, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677 Phone: 706-850-8135 Fax: 706-548-9101 | |
Dr. Fareha Rahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 | |
Halee Wright Griffith, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-850-8135 | |
Mrs. Leah Marie Jobson, PA-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
Dr. Alvin Fred Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 |