| 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 | 25 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 |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | CDRH42664 (Colorado) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | CDRH42664 (Colorado) | Secondary |
| 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 |
| 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 |
Felicia Green, DO Psychiatry & Neurology Medicare: Accepting 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: Not Enrolled in Medicare Practice Location: 9218 Kimmer Dr Ste 200, Lone Tree, CO 80124 Phone: 303-683-5620 Fax: 303-683-5609 |
Rotem Laszlo Abraham Elgavish, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy Ste 125, Lone Tree, CO 80124 Phone: 303-790-8899 Fax: 303-790-2810 |
Gilberto Miranda, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10099 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 |
Dr. Daniel Jordan Kitei, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10103 Ridgegate Pkwy, #125, Lone Tree, CO 80124 Phone: 303-790-8899 Fax: 303-790-2810 |