| Park Medical | |
|
13851 Highway 28 Whitwell TN 37397-5373 | |
| (423) 658-9200 | |
| (423) 658-2195 |
| Full Name | Park Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 13851 Highway 28, Whitwell, Tennessee |
| Authorized Official Name and Position | Jung Park (OWNER) |
| Authorized Official Contact | 4236589200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Medical 13851 Highway 28 Whitwell TN 37397-5373 Ph: (423) 658-9200 | Park Medical 13851 Highway 28 Whitwell TN 37397-5373 Ph: (423) 658-9200 |
| NPI Number | 1124737408 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 1456721224 |
|---|---|
| Medicare Enrollment ID | O20230112001648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124737408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charlie Weichin Fang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609962521 PECOS PAC ID: 2466425830 Enrollment ID: I20041002000074 |
| Provider Name | Jung T Park |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942291638 PECOS PAC ID: 9739136839 Enrollment ID: I20050331000900 |
| Provider Name | Ashley A Sartain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791201 PECOS PAC ID: 4486981628 Enrollment ID: I20190809001586 |
Brenda Ross Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13851 Highway 28, Whitwell, TN 37397 Phone: 423-658-9200 Fax: 423-658-2195 | |
Jung Tae Park Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13851 Highway 28, Whitwell, TN 37397 Phone: 423-658-9200 Fax: 423-658-2195 |