Dr Joseph Rae Park, MD | |
6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 | |
(762) 408-2604 | |
Not Available |
Full Name | Dr Joseph Rae Park |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 21 Years |
Location | 6600 Van Aalst Blvd Bldg 9250, Fort Benning, Georgia |
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 |
---|---|---|---|
1215971494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 23235 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sentry Anesthesia Management, Llc | 9436372323 | 209 |
Entity Name | Amsol Anesthetists Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Radius Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Rae Park, MD 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 Ph: (706) 505-3572 | Dr Joseph Rae Park, MD 6600 Van Aalst Blvd Bldg 9250, Fort Benning, GA 31905-2102 Ph: (762) 408-2604 |
Dr. Fletcher Maurice Boulware Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Anesthesia Suite 2nd Floor, Fort Benning, GA 31905 Phone: 762-408-3108 | |
Dr. Lindsay Powell Attaway, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Department Of Anesthesia, Fort Benning, GA 31905 Phone: 478-361-7800 | |
Dr. Joshua Kyle Gardner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-505-3572 |