Dr Jae Young Park, ACUPUNCTURIST is a
Acupuncturist based in Fort Gordon, Georgia. Dr Jae Young Park is licensed to practice in California (license number 11226) and his current practice location is
300 W Hospital Rd Bldg 3006th, Interdisciplinary Pain Management Center, Fort Gordon, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 787-0716.
NPI number for Dr Jae Young Park is 1023199924 and his current mailing address is 300 Hospital Rd, Interdisciplinary Pain Management Center, Fort Gordon, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023199924.
Healthcare Provider's Profile
| Full Name | Dr Jae Young Park |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 300 W Hospital Rd Bldg 3006th, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023199924
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 07/28/2015
Medical Identifiers
Medical identifiers for Dr Jae Young Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023199924 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 11226 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jae Young Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jae Young Park, ACUPUNCTURIST
300 Hospital Rd, Interdisciplinary Pain Management Center,
Fort Gordon, GA 30905-5741
Ph: (706) 787-8322 | Dr Jae Young Park, ACUPUNCTURIST
300 W Hospital Rd Bldg 3006th, Interdisciplinary Pain Management Center,
Fort Gordon, GA 30905-5741
Ph: (706) 787-0716 |
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