| Dr Andrew Park, MD | |
|
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
| (720) 494-3132 | |
| (720) 494-3107 |
| Full Name | Dr Andrew Park |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 1925 Mountain View Ave, Longmont, Colorado |
| 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 |
|---|---|---|---|
| 1912218165 | NPI | - | NPPES |
| 9000150127 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DR.0058866 (Colorado) | Primary |
| 207X00000X | Orthopaedic Surgery | PENDING (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Park, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3132 | Dr Andrew Park, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3132 |
Peter Wood, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 970-493-0521 | |
Dr. James A Britton, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3132 Fax: 720-494-3107 | |
Dr. Gavin Brett Bishop, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 303-772-9317 | |
Lucas G Schnell, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 303-772-9317 | |
Timothy J Pater, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 970-493-0521 | |
Kenneth J Cavanaugh, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1551 Professional Ln, Suite 200, Longmont, CO 80501 Phone: 303-772-1600 Fax: 303-772-9317 | |
Dr. Gregg A. Koldenhoven, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1610 Dry Creek Dr, Longmont, CO 80503 Phone: 303-772-1600 Fax: 970-493-0521 |