| Dr Andrew Eunkoo Park, MD | |
|
17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 | |
| (214) 370-3006 | |
| (214) 828-1379 |
| Full Name | Dr Andrew Eunkoo Park |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 29 Years |
| Location | 17051 Dallas Pkwy, Addison, Texas |
| 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 |
|---|---|---|---|
| 1598722654 | NPI | - | NPPES |
| 159521701 | Medicaid | TX | |
| P00714233 | Other | TX | RAIL ROAD MEDICARE PIN |
| 8810M3 | Other | TX | BLUE CROSS PIN |
| 159521702 | Medicaid | TX | |
| 00954841A | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | L6562 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Hospital For Surgery | Addison, TX | Hospital |
| Medical City Dallas Hospital | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Spine Consultants, Llp | 5890850804 | 12 |
| Entity Name | Texas Spine Consultants, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871748384 PECOS PAC ID: 5890850804 Enrollment ID: O20090206000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Eunkoo Park, MD 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 Ph: (214) 370-3535 | Dr Andrew Eunkoo Park, MD 17051 Dallas Pkwy, Suite 400, Addison, TX 75001-7109 Ph: (214) 370-3006 |
Dr. William Fulton Tucker Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 420, Addison, TX 75001 Phone: 214-265-5050 Fax: 214-265-0505 | |
Dr. Jonathan Scott Quinby, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 469-243-9390 | |
Dr. Robert Gerard Viere, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Suite 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 | |
Dr. Chester John Donnally Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 | |
Dr. Michael Ware Hennessy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 |