Dr Tammy Kathryne Park, MD | |
1200 E 3900 S, Salt Lake City, UT 84124-1300 | |
(801) 268-7975 | |
(801) 270-3324 |
Full Name | Dr Tammy Kathryne Park |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 1200 E 3900 S, Salt Lake City, Utah |
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 |
---|---|---|---|
1043246036 | NPI | - | NPPES |
870306646002 | Medicaid | UT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5266933-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Integrated Care Llc | 4284548116 | 170 |
Entity Name | Emergency Physicians Integrated Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Tammy Kathryne Park, MD Po Box 95970, South Jordan, UT 84095-0970 Ph: (801) 352-9500 | Dr Tammy Kathryne Park, MD 1200 E 3900 S, Salt Lake City, UT 84124-1300 Ph: (801) 268-7975 |
Dr. Benjamin J. Verseman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E # 1c026, Salt Lake City, UT 84132 Phone: 801-581-2417 | |
Dr. Carrie Anderson, DVM Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1021 E 3300 S, Salt Lake City, UT 84106 Phone: 801-942-3951 Fax: 801-942-3951 | |
Lindsey L. Fell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: Helix: 30 N Mario Capecchi Dr Rm 2s200, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Jared C Dunn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107 Phone: 801-314-4020 Fax: 801-314-4015 | |
Jeffrey Druck, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Kristen Jahn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 | |
Marian Serra, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1050 E South Temple, Salt Lake City, UT 84102 Phone: 801-350-4111 |