Andrew Park, DPM | |
27500 168th Pl Se, Covington, WA 98042-5563 | |
(425) 690-3430 | |
(425) 690-9430 |
Full Name | Andrew Park |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 27500 168th Pl Se, Covington, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124400858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PO60788616 (Washington) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO60788616 (Washington) | Primary |
Provider Name | Valley Medical Group-renton |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
Mailing Address | Practice Location Address |
---|---|
Andrew Park, DPM 1660 S Columbian Way # 112-pod, Seattle, WA 98108-1532 Ph: (206) 762-1010 | Andrew Park, DPM 27500 168th Pl Se, Covington, WA 98042-5563 Ph: (425) 690-3430 |
Kent Foot & Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St Ste 370, Covington, WA 98042 Phone: 253-631-0585 | |
Ryan Alan Bierman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042 Phone: 253-631-0585 Fax: 253-631-0596 | |
Kent Foot & Ankle Clinic Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042 Phone: 253-631-0585 Fax: 253-631-0596 |