| Dr Vickie Jean Park, MD | |
| 
					100 St. Mary's Medical Plaza, Jefferson City, MO 65101  | |
| (573) 761-7011 | |
| Not Available | 
| Full Name | Dr Vickie Jean Park | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 100 St. Mary's Medical Plaza, Jefferson City, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851484349 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | R9F46 (Missouri) | Primary | 
| Entity Name | Capital Emergency Physicians, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1871626309 PECOS PAC ID: 8527104520 Enrollment ID: O20091006000015  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Vickie Jean Park, MD 2620 Westbrook Way, Columbia, MO 65203 Ph: (573) 442-1150  | Dr Vickie Jean Park, MD 100 St. Mary's Medical Plaza, Jefferson City, MO 65101 Ph: (573) 761-7011  | 
Charles Joseph Ludy, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000  | |
Dr. Todd Rockett,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Saint Marys Plz, Jefferson City, MO 65101 Phone: 573-761-7000  | |
Dr. Johnbosco Onyekachukwu Okpala, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-884-4400 Fax: 573-884-5994  | |
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000  | |
Monika M Prost, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-636-9756  | |
Dr. Mark R Katsaros, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3527 W Truman Blvd, Jefferson City, MO 65109 Phone: 573-882-8910 Fax: 573-884-1585  | |
Dr. James Patrick Newman Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 Fax: 573-644-7880  |