| Dr Patrick Michael Parker, DO | |
|
3294 N Oak Street Ext, Valdosta, GA 31605-6473 | |
| (229) 241-1188 | |
| Not Available |
| Full Name | Dr Patrick Michael Parker |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 3294 N Oak Street Ext, Valdosta, 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 |
|---|---|---|---|
| 1619170446 | NPI | - | NPPES |
| 068590 | Other | GA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 280464 (New York) | Secondary |
| 208800000X | Urology | 068590 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncrest Home Health | Adel, GA | Home health agency |
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgmc Physician Network Inc | 4082036843 | 101 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Urological Clinic Of Valdosta Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649491606 PECOS PAC ID: 1456419837 Enrollment ID: O20081029000625 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Michael Parker, DO 3294 N Oak Street Ext, Valdosta, GA 31605-6473 Ph: (229) 241-1188 | Dr Patrick Michael Parker, DO 3294 N Oak Street Ext, Valdosta, GA 31605-6473 Ph: (229) 241-1188 |
Mr. Mike Syru Chiang, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3294 North Oak Street Ext., Valdosta, GA 31605 Phone: 229-241-1188 Fax: 229-245-7106 |