Jungwon Genevieve Park, MD, PHD | |
606 N Chelan Ave Ste B, Wenatchee, WA 98801-2025 | |
(509) 596-0096 | |
Not Available |
Full Name | Jungwon Genevieve Park |
---|---|
Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 606 N Chelan Ave Ste B, Wenatchee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285080846 | NPI | - | NPPES |
2260815 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | MD61297103 (Washington) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | MD61297103 (Washington) | Primary |
Entity Name | Chelan County Public Hospital District No 2 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20031226000201 |
Entity Name | Chelan County Public Hospital District No 2 |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20061104000289 |
Entity Name | Cascadian Plastic Surgery Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396447876 PECOS PAC ID: 0648634659 Enrollment ID: O20230908003220 |
Mailing Address | Practice Location Address |
---|---|
Jungwon Genevieve Park, MD, PHD 606 N Chelan Ave Ste B, Wenatchee, WA 98801-2025 Ph: (509) 596-0096 | Jungwon Genevieve Park, MD, PHD 606 N Chelan Ave Ste B, Wenatchee, WA 98801-2025 Ph: (509) 596-0096 |
Daniel R Sparks, MD Surgery Medicare: Medicare Enrolled Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Christopher Stahler, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Gerald E Gibbons, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Gregory Albert Lammert, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Jeffrey T Monson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 Fax: 509-665-6065 | |
Jordy C Cox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-662-1511 | |
Rocky Lei Browder, MD Surgery Medicare: Medicare Enrolled Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-662-1511 |