| Dr Karen Mary Park, MD | |
|
5333 Mcauley Dr Rm 1000, Ypsilanti, MI 48197-1024 | |
| (734) 712-5898 | |
| (734) 712-5084 |
| Full Name | Dr Karen Mary Park |
|---|---|
| Gender | Female |
| Speciality | Interventional Pain Management |
| Experience | 37 Years |
| Location | 5333 Mcauley Dr Rm 1000, Ypsilanti, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851499099 | NPI | - | NPPES |
| 138112 | Other | MI | CARE CHOICE INDIVIDUAL NO |
| 1243118 | Other | MI | UNITED HEALTHCARE NO |
| 5412048 | Other | MI | AETNA INDIVIDUAL NO |
| 0813610 | Other | MI | BCBS OF MI PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 4301079007 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Saint Joseph Mercy Livingston Hospital | Howell, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Pain Institute Pllc | 0941292239 | 6 |
| Entity Name | Michigan Pain Institute Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437257557 PECOS PAC ID: 0941292239 Enrollment ID: O20040330000479 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karen Mary Park, MD 5333 Mcauley Dr Rm 1000, Ypsilanti, MI 48197-1024 Ph: (734) 712-5898 | Dr Karen Mary Park, MD 5333 Mcauley Dr Rm 1000, Ypsilanti, MI 48197-1024 Ph: (734) 712-5898 |
Jason Adams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr Ste 5, Ypsilanti, MI 48197 Phone: 734-712-5898 | |
Alexandra Brooke Taylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 | |
Umberto Berlasi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 Fax: 734-712-0133 | |
Daniel Saddawi-konefka, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Rhb 2111, Ypsilanti, MI 48197 Phone: 734-712-5015 | |
Stephen Douglas Riutta, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr Rm 1000, Ypsilanti, MI 48197 Phone: 734-712-7246 Fax: 734-712-5084 | |
Nathan Minsoo Lee, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 Mcauley Dr, Ypsilanti, MI 48197 Phone: 734-712-9456 | |
Amanda Jiddou Roosevelt, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5301 East Huron River, Anesthesia Department, Ypsilanti, MI 48197 Phone: 734-712-3456 |