Chan Kyu Park, DC in Johns Creek, GA - Medicare Chiropractor Provider

Chan Kyu Park, DC is a medicare enrolled "Chiropractor" provider in Johns Creek, Georgia. His current practice location is 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 473-0552.

Chan Kyu Park is licensed to practice in Georgia (license number CHIR009022) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639541485.

Contact Information

	Chan Kyu Park, DC
	6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-2164
	(678) 473-0552
	(678) 473-0656

Map and Direction

Healthcare Provider's Profile

Full Name	Chan Kyu Park
Gender	Male
Speciality	Chiropractor
Location	6630 Mcginnis Ferry Rd, Johns Creek, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639541485
Provider Enumeration Date: 10/20/2015
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8921417411
Enrollment ID: I20210513002249

Medical Identifiers

Medical identifiers for Chan Kyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639541485	NPI	-	NPPES
1588908685	Other	GA	GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111NR0400X	Chiropractor - Rehabilitation	CHIR009022 (Georgia)	Secondary
111NS0005X	Chiropractor - Sports Physician	CHIR009022 (Georgia)	Secondary
111N00000X	Chiropractor	CHIR009022 (Georgia)	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. Chan Kyu Park allows following entities to bill medicare on his behalf.

Provider Name	Better Spine Better Health, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588908685 PECOS PAC ID: 7012326507 Enrollment ID: O20210513001489

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. Chan Kyu 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
Chan Kyu Park, DC 6630 Mcginnis Ferry Rd Ste B, Johns Creek, GA 30097-1563 Ph: (678) 473-0552	Chan Kyu Park, DC 6630 Mcginnis Ferry Rd, Suite B, Johns Creek, GA 30097-2164 Ph: (678) 473-0552

Reviews and Comments

Chiropractor in Johns Creek, GA

Bon Health Clinic L.l.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10900 Medlock Bridge Rd, Ste #202, Johns Creek, GA 30097 Phone: 770-418-2340 Fax: 770-418-9011
Lpc Alpharetta Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11130 State Bridge Rd Ste C102, Johns Creek, GA 30022 Phone: 770-521-9008
Chiropractic Wellness Center P C Chiropractor Medicare: Medicare Enrolled Practice Location: 6385 Mcginnis Ferry Rd Ste 201, Johns Creek, GA 30005 Phone: 770-623-6880 Fax: 770-623-6440
Atlanta Scoliosis Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11130 State Bridge Rd Ste C102, Johns Creek, GA 30022 Phone: 678-403-2121
Enhanced Wellness Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6395 Mcginnis Ferry Rd Ste 301, Johns Creek, GA 30005 Phone: 770-552-7500
Dr. John Peter Gatell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11130 State Bridge Rd Ste C102, Johns Creek, GA 30022 Phone: 678-403-2121
Bryan Melendez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11030 Medlock Bridge Rd, Ste 230, Johns Creek, GA 30097 Phone: 678-694-1113

Chan Kyu Park, DC - Medicare Chiropractor in Johns Creek, GA