| Michael Charles Park, PA-C | |
|
3133 Professional Dr, Suite 20, Auburn, CA 95603-2463 | |
| (530) 885-8821 | |
| (530) 885-6554 |
| Full Name | Michael Charles Park |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 3133 Professional Dr, Auburn, California |
| 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 |
|---|---|---|---|
| 1740235977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16794 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Auburn Faith Hospital | Auburn, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 2473 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Charles Park, PA-C 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (855) 771-0335 | Michael Charles Park, PA-C 3133 Professional Dr, Suite 20, Auburn, CA 95603-2463 Ph: (530) 885-8821 |
Tiara Rose Hubbard, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11815 Education St, Auburn, CA 95602 Phone: 530-888-4500 |
Mrs. Andrea Marissa Olivas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3280 Professional Dr, Auburn, CA 95602 Phone: 530-886-8630 Fax: 530-886-8629 |
Jacob Daniel Blasi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11795 Education St Ste 100, Auburn, CA 95602 Phone: 530-889-7470 |
Mrs. Victoria Hobel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11795 Education St Ste 222, Auburn, CA 95602 Phone: 530-886-6660 |
Karen Rae Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3111 Professional Dr, Auburn, CA 95603 Phone: 530-274-9762 |
Isabella Lang, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 13555 Bowman Rd Ste 100, Auburn, CA 95603 Phone: 530-885-3951 |
Douglas S Cobb, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11795 Education St, Suite 220, Auburn, CA 95602 Phone: 530-889-7400 Fax: 530-889-7401 |