| Dr Minnsun Koh Park, MD | |
|
3900 University Blvd S, Jacksonville, FL 32216-4331 | |
| (904) 222-6656 | |
| Not Available |
| Full Name | Dr Minnsun Koh Park |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 12 Years |
| Location | 3900 University Blvd S, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1003158767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME146480 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Las Cruces Physician Practices, Llc | 7618974858 | 81 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20040126000840 |
| Entity Name | Las Cruces Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Minnsun Koh Park, MD 3900 University Blvd S, Jacksonville, FL 32216-4331 Ph: (904) 222-6656 | Dr Minnsun Koh Park, MD 3900 University Blvd S, Jacksonville, FL 32216-4331 Ph: (904) 222-6656 |
Dr. Jami Ann Rothe Kinnucan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sandrela Mussallam Abu Shaibeh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |