Dr Dan D Park, DPM | |
3231 S National Ave, Suite 160, Springfield, MO 65807-7304 | |
(417) 888-6708 | |
(417) 890-4143 |
Full Name | Dr Dan D Park |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 36 Years |
Location | 3231 S National Ave, Springfield, Missouri |
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 |
---|---|---|---|
1023151685 | NPI | - | NPPES |
118724 | Other | MO | MO BLUE SHIELD |
81727 | Other | AR | ARK BLUE SHIELD |
309802700 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 000787 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Springfield | Springfield, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Provider Name | Mercy Clinic Springfield Communities |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
Provider Name | Mercy Clinic Springfield Communities |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Mailing Address | Practice Location Address |
---|---|
Dr Dan D Park, DPM Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620 | Dr Dan D Park, DPM 3231 S National Ave, Suite 160, Springfield, MO 65807-7304 Ph: (417) 888-6708 |
Dr. Dan R. Mostrom, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3231 S National Ave, Springfield, MO 65807 Phone: 417-888-6708 Fax: 417-890-4143 | |
Brad W Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 | |
Dr. Russell T Dirksen, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 929 E Montclair St, Suite 100, Springfield, MO 65807 Phone: 417-883-1881 Fax: 417-883-4844 | |
Dr. Lorene Ann Van Dam, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 4870 W Kingsbury St, Springfield, MO 65802 Phone: 417-299-7602 | |
Dr. Stephen Michael Levine, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1850 W Republic Rd, Springfield, MO 65807 Phone: 417-891-4800 Fax: 417-891-4912 | |
Foot Doctors, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 929 E Montclair Stuite 100, Springfield, MO 65807 Phone: 417-883-1881 Fax: 417-883-4844 |