| Dr Michael Chankwon Park, MD, PHD | |
|
516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 | |
| (612) 624-6666 | |
| (612) 624-0644 |
| Full Name | Dr Michael Chankwon Park |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 23 Years |
| Location | 516 Delaware St Se, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1942427117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 58653 (Minnesota) | Primary |
| 207T00000X | Neurological Surgery | TP326 (Kentucky) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| University Of Minnesota Health Clinics And Surgery Center Inc | 9133423304 | 537 |
| Entity Name | University Of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Chankwon Park, MD, PHD 420 Delaware St Se, Mmc96, D429 Mail, Minneapolis, MN 55455-0341 Ph: (612) 626-4706 | Dr Michael Chankwon Park, MD, PHD 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455-0356 Ph: (612) 624-6666 |
Dr. Robert Allen Mcgovern Iii, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Jesse D Lawrence, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 913 E 26th St Ste 305, Minneapolis, MN 55404 Phone: 612-871-7278 | |
Kendall Mceachron, MD Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Benjamin Best, M.D. Neurological Surgery Medicare: May Accept Medicare Assignments Practice Location: Children's Health Care, 2525 Chicago Avenue South, Minneapolis, MN 55404 Phone: 612-813-6000 | |
Gaylan L Rockswold, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, P5, Minneapolis, MN 55415 Phone: 612-873-2810 | |
Stanley A Skinner, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-3200 Fax: 612-863-2837 | |
Dr. Zhiyi Sha, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware Street S.e., Mmc 295, Minneapolis, MN 55455 Phone: 612-624-9025 Fax: 612-624-8111 |