| 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 | 20 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 |
|---|---|---|
| Avera St Lukes | Aberdeen, SD | Hospital |
| Sgmc Health | Valdosta, GA | Hospital |
| Community Memorial Hospital | Redfield, SD | Hospital |
| Emory Houston Hospital Warner Robins | Warner robins, GA | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera St Lukes | 6406764927 | 164 |
| Entity Name | Avera St Lukes |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215100813 PECOS PAC ID: 6406764927 Enrollment ID: O20040120000912 |
| 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 |
Dr. Chase Thomas Griffin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3294 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-241-1188 |