| Pierce C Park, MD | |
|
1414 W Fair Ave, Suite 344, Marquette, MI 49855-2675 | |
| (906) 225-3910 | |
| (906) 225-4529 |
| Full Name | Pierce C Park |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 27 Years |
| Location | 1414 W Fair Ave, Marquette, Michigan |
| 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 |
|---|---|---|---|
| 1477607638 | NPI | - | NPPES |
| 2949153 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 35-092802 (Ohio) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4301103759 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Duluth, MN | Hospital |
| Community Memorial Hospital | Cloquet, MN | Hospital |
| Lake View Memorial Hospital | Two harbors, MN | Hospital |
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Pierce C Park, MD 1414 W Fair Ave, Suite 344, Marquette, MI 49855-2675 Ph: (906) 225-3910 | Pierce C Park, MD 1414 W Fair Ave, Suite 344, Marquette, MI 49855-2675 Ph: (906) 225-3910 |
Issam El Bizri, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 344, Marquette, MI 49855 Phone: 906-449-1300 Fax: 906-629-6482 | |
Dr. Robert John Carroll, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave, Marquette, MI 49855 Phone: 906-449-3000 | |
Kenneth Buran, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 850 W Baraga Ave Ste 32, Marquette, MI 49855 Phone: 906-449-3680 Fax: 833-916-2211 | |
Nelson Eric Gencheff, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Kaitlyn Marie Joyce, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 201, Marquette, MI 49855 Phone: 906-225-4500 Fax: 906-225-3919 | |
John Michael Pap, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 Phone: 906-225-3870 Fax: 906-225-4861 | |
Mr. Daniel J Arnold, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1414 W Fair Ave, Suite 332, Marquette, MI 49855 Phone: 906-225-3922 Fax: 906-225-4527 |