| Mary Park, MD | |
|
939 Caroline St # 3e, Port Angeles, WA 98362-3909 | |
| (360) 565-0599 | |
| (360) 452-7303 |
| Full Name | Mary Park |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 15 Years |
| Location | 939 Caroline St # 3e, Port Angeles, Washington |
| 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 |
|---|---|---|---|
| 1609161330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 280368 (New York) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD61579915 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Auburn Medical Center | Auburn, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 2296 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Park, MD Po Box 850, Port Angeles, WA 98362-0146 Ph: () - | Mary Park, MD 939 Caroline St # 3e, Port Angeles, WA 98362-3909 Ph: (360) 565-0599 |
Mary Caitlin Indart, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 433 E 8th St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-565-0591 | |
Oksana Y Shklyanka, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 939 Caroline St # 3e, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 | |
Alford Nathaniel Vassall Jr., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 939 Caroline St Ste A, Port Angeles, WA 98362 Phone: 360-655-0999 Fax: 360-452-7303 | |
Mr. Stephen D Bush, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 939 Caroline St # 3e, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 | |
Michael Thomas Jennings, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 433 E 8th St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 | |
Sheena Plamoottil, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 907 Georgiana St, Port Angeles, WA 98362 Phone: 360-565-0999 Fax: 360-452-7303 |