Dr Matthew V Park, MD | |
603 S J St Ste 102, Tacoma, WA 98405-4100 | |
(253) 396-4868 | |
(253) 396-4870 |
Full Name | Dr Matthew V Park |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 22 Years |
Location | 603 S J St Ste 102, Tacoma, 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 |
---|---|---|---|
1699875716 | NPI | - | NPPES |
1092505 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 48231 (Wisconsin) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | MD 00049264 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatrix Cardiology Of Washington Pc | 0244332310 | 6 |
Entity Name | Pediatrix Cardiology Of Washington Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164445367 PECOS PAC ID: 0244332310 Enrollment ID: O20070220000217 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew V Park, MD 603 S J St Ste 102, Tacoma, WA 98405-4100 Ph: (253) 396-4868 | Dr Matthew V Park, MD 603 S J St Ste 102, Tacoma, WA 98405-4100 Ph: (253) 396-4868 |
David Lee Robinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 | |
Nan Shin, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 S Cushman Ave, Tacoma, WA 98405 Phone: 253-593-2144 Fax: 253-280-9881 | |
Arthur L Walter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Pediatric Extended Care Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3066 | |
Bradley Stanton Hood, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 S L St, Tacoma, WA 98405 Phone: 253-403-1540 | |
Kirk N. Liesemer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-3066 | |
Christopher Anthony Bellotti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 603 S J St Ste 102, Tacoma, WA 98405 Phone: 253-396-4868 Fax: 253-396-4870 | |
Dr. Michael Timothy Alston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 |