| 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: Medicare Enrolled 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 | |
Alan Robert Lemerande Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 | |
Dr. Jared Emery, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5013 |