| Jean Park, | |
|
1365b Clifton Rd Ne, Atlanta, GA 30322-1013 | |
| (404) 785-6000 | |
| Not Available |
| Full Name | Jean Park |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 9 Years |
| Location | 1365b Clifton Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508229832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 84894 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Hospital Center | Arlington, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Eye Care And Laser Center Llc | 2769460971 | 70 |
| Entity Name | Chesapeake Eye Care & Laser Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548296262 PECOS PAC ID: 2769460971 Enrollment ID: O20171109002134 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Park, 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 Ph: (404) 785-6000 | Jean Park, 1365b Clifton Rd Ne, Atlanta, GA 30322-1013 Ph: (404) 785-6000 |
William Martin, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 8 Mooregate Sq Nw, Atlanta, GA 30327 Phone: 404-842-9366 Fax: 404-842-9369 | |
Dr. Emily Bedrick Graubart, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1365b Clifton Rd Ne, Suite B2400, Atlanta, GA 30322 Phone: 404-778-2020 | |
Dr. Abdelrahman Montaser Anter, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne Ste 4500, Atlanta, GA 30322 Phone: 305-684-9762 | |
Dr. Robert Doyle Stulting, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 800 Mount Vernon Hwy, Suite 125, Atlanta, GA 30328 Phone: 404-256-1125 Fax: 404-256-1964 | |
Dr. Daniel James Hennessy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 445 River Glen Trce Nw, Atlanta, GA 30328 Phone: 770-952-5828 | |
Joung Y Kim, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree Street, 9th Floor, Atlanta, GA 30308 Phone: 404-778-2020 Fax: 404-778-2244 | |
Dr. Michael Dattilo, M.D., PH.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1365b Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-5360 Fax: 404-778-4849 |