Dr Charles W Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" provider in West Orange, New Jersey. His current practice location is
405 Northfield Ave, Suite 204, West Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 325-6120.
Dr Charles W Park is licensed to practice in New Jersey (license number 25MA07374100) 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 1629179411.
Healthcare Provider's Profile
| Full Name | Dr Charles W Park |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 405 Northfield Ave, West Orange, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles W Park attended and graduated from in
NPI Data:
- NPI Number: 1629179411
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 12/18/2013
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Charles W Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629179411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 25MA07374100 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07374100 (New Jersey) | 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 Charles W 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 Charles W Park, MD
405 Northfield Ave, Suite 204,
West Orange, NJ 07052-3026
Ph: (973) 325-6120 | Dr Charles W Park, MD
405 Northfield Ave, Suite 204,
West Orange, NJ 07052-3026
Ph: (973) 325-6120 |
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