Dr William Isaiah Park Iv, MD | |
1505 Daphne Ave, Daphne, AL 36526-4298 | |
(251) 625-2663 | |
(251) 625-3198 |
Full Name | Dr William Isaiah Park Iv |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 27 Years |
Location | 1505 Daphne Ave, Daphne, Alabama |
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 |
---|---|---|---|
1780642710 | NPI | - | NPPES |
0126962 | Medicaid | MS | |
631187140 | Other | TAX ID | |
051552744 | Medicaid | AL | |
051512928 | Other | AL | BCBS |
200045417 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 00024958 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thomas Hospital | Fairhope, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baldwin Bone And Joint P C | 0446213409 | 24 |
Entity Name | Baldwin Bone & Joint P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790714459 PECOS PAC ID: 0446213409 Enrollment ID: O20041110000595 |
Mailing Address | Practice Location Address |
---|---|
Dr William Isaiah Park Iv, MD 1505 Daphne Ave, Daphne, AL 36526-4298 Ph: (251) 625-2663 | Dr William Isaiah Park Iv, MD 1505 Daphne Ave, Daphne, AL 36526-4298 Ph: (251) 625-2663 |
Dr. Daniel E. Matthews, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 6401 Jordan Rd, Suite A, Daphne, AL 36526 Phone: 251-491-2676 Fax: 251-491-2685 | |
Michael A Chamblee, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
Allison Hunter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-625-2663 Fax: 251-625-3198 | |
James W Hicks, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1505 Daphne Ave, Daphne, AL 36526 Phone: 251-316-6634 |