Dr James D Park, DOM in Albuquerque, NM - Medicare Physical Therapy Provider

Dr James D Park, DOM is a medicare enrolled "Physical Therapist" provider in Albuquerque, New Mexico. He graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 6501 Eagle Rock Ave Ne, Suite A6, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 797-5400.

Dr James D Park is licensed to practice in New Mexico (license number 2074) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255396719.

Contact Information

	Dr James D Park, DOM
	6501 Eagle Rock Ave Ne, Suite A6, Albuquerque, NM 87113-2478
	(505) 797-5400
	(505) 797-2905

Map and Direction

Healthcare Provider's Profile

Full Name	Dr James D Park
Gender	Male
Speciality	Physical Therapy
Experience	32 Years
Location	6501 Eagle Rock Ave Ne, Albuquerque, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr James D Park graduated from medical school in 1993

NPI Data:

NPI Number: 1255396719
Provider Enumeration Date: 04/19/2006
Last Update Date: 09/20/2012

Medicare PECOS Information:

PECOS PAC ID: 5890767156
Enrollment ID: I20040809000728

Medical Identifiers

Medical identifiers for Dr James D Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255396719	NPI	-	NPPES
NM 00Q502	Other	NM	BCBS PT PROVIDER NUMBER
NM 00RH82	Other	NM	BCBS DOM PROVIDER NUMBER
45139024	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
171100000X	Acupuncturist	866 RX-1 (New Mexico)	Secondary
225100000X	Physical Therapist	2074 (New Mexico)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James D Park allows following entities to bill medicare on his behalf.

Provider Name	East West Integrated Pain & Rehab Center Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932398146 PECOS PAC ID: 5294896130 Enrollment ID: O20081210000344

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 James D Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr James D Park, DOM 7343 Wild Olive Ave Ne, Albuquerque, NM 87113-2079 Ph: (505) 514-2900	Dr James D Park, DOM 6501 Eagle Rock Ave Ne, Suite A6, Albuquerque, NM 87113-2478 Ph: (505) 797-5400

Dr James D Park, DOM - Medicare in Albuquerque, NM