| Jennifer Park, MD | |
|
8001 Forbes Pl, Suite 103, Springfield, VA 22151-2208 | |
| (703) 824-3200 | |
| Not Available |
| Full Name | Jennifer Park |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 8001 Forbes Pl, Springfield, Virginia |
| 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 |
|---|---|---|---|
| 1922199058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101230581 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reston Hospital Center | Reston, VA | Hospital |
| Lewisgale Medical Center | Salem, VA | Hospital |
| Lewisgale Hospital Montgomery | Blacksburg, VA | Hospital |
| Stonesprings Hospital Center | Dulles, VA | Hospital |
| Lewisgale Hospital Alleghany | Low moor, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mri Of Reston, Lp | 3476544701 | 15 |
| Reston Radiology Consultants, Pc | 1557436730 | 35 |
| Loudoun Medical Group, Pc | 0042119661 | 272 |
| Loudoun Imaging Center/ashburn Llc | 0042371429 | 15 |
| Reston Radiology Consultants, Pc | 1557436730 | 35 |
| Fair Oaks Imaging Center Pc | 7113918426 | 17 |
| Roanoke Imaging Llc | 9436215662 | 18 |
| Entity Name | Fair Oaks Imaging Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063437903 PECOS PAC ID: 7113918426 Enrollment ID: O20040524000887 |
| Entity Name | Mri of Reston, LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164447025 PECOS PAC ID: 3476544701 Enrollment ID: O20040524000970 |
| Entity Name | Pet of Reston, LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922024041 PECOS PAC ID: 7214975978 Enrollment ID: O20050422000164 |
| Entity Name | Fairfax Radiological Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114902509 PECOS PAC ID: 8628970324 Enrollment ID: O20060404000840 |
| Entity Name | Reston Radiology Consultants, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235307034 PECOS PAC ID: 1557436730 Enrollment ID: O20080822000340 |
| Entity Name | Inova Reston Mri Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972838993 PECOS PAC ID: 2961540042 Enrollment ID: O20091110000507 |
| Entity Name | Ifrc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508405317 PECOS PAC ID: 2961829882 Enrollment ID: O20200831000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Park, MD Po Box 79537, Baltimore, MD 21279-0537 Ph: (703) 824-3200 | Jennifer Park, MD 8001 Forbes Pl, Suite 103, Springfield, VA 22151-2208 Ph: (703) 824-3200 |
William James Dunwoody, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |
Dr. Dan Kramer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, Springfield, VA 22150 Phone: 703-922-1000 Fax: 703-922-1111 |
Mitali Bapna, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |
Arina Van Breda, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |
Kenneth Rholl, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |
Theresa Yuh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |
Tammy Lamb, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |