Jong Park, MD | |
3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | |
(479) 968-7930 | |
(479) 968-4331 |
Full Name | Jong Park |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 3215 N Northhills Blvd, Fayetteville, Arkansas |
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 |
---|---|---|---|
1952526972 | NPI | - | NPPES |
5H161 | Other | AR | BCBS |
175747001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E5013 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington Regional Medical System | 8820995434 | 226 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477718179 PECOS PAC ID: 8820995434 Enrollment ID: O20041213000971 |
Mailing Address | Practice Location Address |
---|---|
Jong Park, MD Po Box 9178, Russellville, AR 72811 Ph: (479) 968-7930 | Jong Park, MD 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 Ph: (479) 968-7930 |
Dr. Fredrik J Balldin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Jarret Sanders, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-968-7930 Fax: 479-968-4331 | |
Dr. Theodore N. Hronas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. Whitney Sipe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-442-6266 Fax: 479-521-3877 | |
Dr. Vanessa Hardin Branch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 Fax: 479-582-7389 | |
Edward Wrenn Wooten, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 | |
Dr. Christopher M Mcclinton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 E Monte Painter Dr, Fayetteville, AR 72703 Phone: 479-695-4234 |