| Edward Sung Bae Pak, | |
|
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Edward Sung Bae Pak |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| 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 |
|---|---|---|---|
| 1194353920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD70092676 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | MD219369 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Roseburg, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 972 |
| Entity Name | Doctors Emergency Room Corp Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811055437 PECOS PAC ID: 2668467317 Enrollment ID: O20121022000749 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Sung Bae Pak, 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000 | Edward Sung Bae Pak, 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (800) 813-2000 |
Megan Lea Kelly, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Center, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Nicholas Markham Leonard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Alexander Marsh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Kaiser Permanente, Clackamas, OR 97015 Phone: 503-571-8488 | |
James Edward Wood, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Pamela Marie Johnson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
John Mullen, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Allison M Bail, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 |