| Charles Keyu Park, MD | |
|
10099 Ridgegate Pkwy Ste 420, Lone Tree, CO 80124-5536 | |
| (303) 800-6463 | |
| (303) 500-6585 |
| Full Name | Charles Keyu Park |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 24 Years |
| Location | 10099 Ridgegate Pkwy Ste 420, Lone Tree, Colorado |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235214131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | CDRH42664 (Colorado) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | CDRH42664 (Colorado) | Primary |
| Entity Name | Agami Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194183020 PECOS PAC ID: 2062842776 Enrollment ID: O20200421001692 |
| Entity Name | The Mind Store, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437891348 PECOS PAC ID: 5395127526 Enrollment ID: O20240423000208 |
| Entity Name | Tms Store |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447956115 PECOS PAC ID: 0749622520 Enrollment ID: O20240524000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Keyu Park, MD 10099 Ridgegate Pkwy Ste 420, Lone Tree, CO 80124-5536 Ph: (303) 800-6463 | Charles Keyu Park, MD 10099 Ridgegate Pkwy Ste 420, Lone Tree, CO 80124-5536 Ph: (303) 800-6463 |
Dr. Khaja Najibuddin Chisty, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9220 Teddy Ln Ste 1600, Lone Tree, CO 80124 Phone: 303-305-7785 Fax: 786-930-4110 | |
Felicia Green, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 Phone: 720-225-1000 | |
Dr. Constantinos Vrakas, DO Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 Phone: 720-225-1000 | |
Ellen Marie Ryan, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9100 Kornbrust Dr, Lone Tree, CO 80124 Phone: 303-690-9347 | |
Dr. Robert William Schabbing, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10240 Park Meadows Dr, Lone Tree, CO 80124 Phone: 303-338-4545 | |
Ashley Elizabeth Lewis, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 9218 Kimmer Dr Ste 200, Lone Tree, CO 80124 Phone: 303-683-5620 Fax: 303-683-5609 |