Dr Susanna S Park, MD, PHD | |
4860 Y St, Suite 2400, Sacramento, CA 95817-2307 | |
(916) 734-6544 | |
(916) 734-6197 |
Full Name | Dr Susanna S Park |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 36 Years |
Location | 4860 Y St, Sacramento, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902881972 | NPI | - | NPPES |
GR002104I | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G75691 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of California Davis Medical Center | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The Univ Of Ca | 3375456619 | 1360 |
Entity Name | Regents Of The Univ Of Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
---|---|
Dr Susanna S Park, MD, PHD 4860 Y St, Suite 2400, Sacramento, CA 95817-2307 Ph: (916) 734-6544 | Dr Susanna S Park, MD, PHD 4860 Y St, Suite 2400, Sacramento, CA 95817-2307 Ph: (916) 734-6544 |
Jocelyn Kim-dunlavey, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 651 Fulton Ave, Sacramento, CA 95825 Phone: 916-483-2525 | |
Dr. Dorotheea Oana Warmerdam, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3 Park Center Dr Ste 100, Sacramento, CA 95825 Phone: 916-454-4861 Fax: 916-454-3603 | |
Dr. Keith Liang, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3160 J St, Sacramento, CA 95816 Phone: 916-446-2020 Fax: 916-446-3128 | |
Dr. Ala Moshiri, MD PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4860 Y St, Suite 2400, Sacramento, CA 95817 Phone: 916-734-6074 Fax: 916-734-6197 | |
Jeffrey H. Rabowsky, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000 | |
Fusun Ozlen Gokmen Fowler, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8120 Timberlake Way Ste 211, Sacramento, CA 95823 Phone: 916-423-2134 Fax: 916-423-4477 | |
Jonathan Hernandez, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4860 Y St Ste 2400, Sacramento, CA 95817 Phone: 916-734-6602 Fax: 916-734-0411 |