| Joey Sun Park, CRNA | |
|
200 Avenue F Ne, Winter Haven, FL 33881-4131 | |
| (940) 703-4607 | |
| (817) 207-4182 |
| Full Name | Joey Sun Park |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 6 Years |
| Location | 200 Avenue F Ne, Winter Haven, Florida |
| 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 |
|---|---|---|---|
| 1699317156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11007352 (Florida) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001336 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Fleming Island Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487945895 PECOS PAC ID: 6002084860 Enrollment ID: O20110721000345 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Joey Sun Park, CRNA 2995 Drew St, Clearwater, FL 33759-3012 Ph: (727) 281-9065 | Joey Sun Park, CRNA 200 Avenue F Ne, Winter Haven, FL 33881-4131 Ph: (940) 703-4607 |
Mrs. Amanda Hill Dillingham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Mr. Glenn A Hardesty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 383 Alpine Dr, Winter Haven, FL 33881 Phone: 863-221-3718 | |
Henry Joseph Bohn, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Janet G Ergle, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2400 Dundee Rd, Winter Haven, FL 33884 Phone: 863-293-8471 Fax: 866-665-2702 | |
Mr. Senen Ojeda-lopez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 Fax: 844-876-0873 | |
Mario De Jesus Torres, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Avenue F Ne, Winter Haven, FL 33881 Phone: 863-293-1121 | |
Marva Louisville, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 325 Avenue B Nw, Winter Haven, FL 33881 Phone: 863-291-4000 |