Edward Park Kang, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Canton, Georgia. His current practice location is
460 Northside Cherokee Blvd Ste 100, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 292-3490.
Edward Park Kang is licensed to practice in Georgia (license number 70309) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154504082.
Physician's Profile
| Full Name | Edward Park Kang |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 460 Northside Cherokee Blvd Ste 100, Canton, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Edward Park Kang attended and graduated from in
NPI Data:
- NPI Number: 1154504082
- Provider Enumeration Date: 12/13/2007
- Last Update Date: 04/27/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Edward Park Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154504082 | NPI | - | NPPES |
| 003135923B | Medicaid | GA | |
| 003135923A | Medicaid | GA | |
| 003135923D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0129X | Surgery - Vascular Surgery | 54147 (Minnesota) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 70309 (Georgia) | Primary |
| 208600000X | Surgery | 4301086626 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Park Kang is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edward Park Kang, MD
980 Johnson Fy Rd Ne, Ste 1040,
Atlanta, GA 30342-1626
Ph: (770) 292-3496 | Edward Park Kang, MD
460 Northside Cherokee Blvd Ste 100,
Canton, GA 30115-8017
Ph: (770) 292-3490 |
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