Jesse Aaron Park, | |
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
(734) 287-9029 | |
Not Available |
Full Name | Jesse Aaron Park |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2333 Biddle Ave, Wyandotte, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487079190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 5101020914 (Michigan) | Primary |
Entity Name | Emergency Physicians Of Northwest Ohio, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20190904001095 |
Mailing Address | Practice Location Address |
---|---|
Jesse Aaron Park, 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 287-9029 | Jesse Aaron Park, 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 287-9029 |
Sweta Banda, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-264-6000 | |
Dr. Zachary Jump, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-287-9029 | |
Elizabeth S Plemmons, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 313-284-9400 | |
Fatimoh Oyedele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 | |
Andrew G Good, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Dr. Satheesh Gunaga, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Henry Ford Wyandotte Hospital Dept Of Medical Education, Wyandotte, MI 48192 Phone: 734-208-7148 | |
Nicholas Schimmel, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-8004 |