Dr Earl P Park, DMD MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Birmingham, Alabama. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 2014 and has 10 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Louisiana State University School Of Medicine In New Orleans Faculty G and his current practice location is
2000 6th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 934-9999.
Dr Earl P Park is licensed to practice in Alabama (license number 35601) 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 1558659698.
Healthcare Provider's Profile
Full Name | Dr Earl P Park |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 10 Years |
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Location | 2000 6th Ave S, Birmingham, Alabama |
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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. |
Medical Education and Training:
- Dr Earl P Park attended and graduated from Louisiana State University School Of Medicine In New Orleans in 2014
NPI Data:
- NPI Number: 1558659698
- Provider Enumeration Date: 07/11/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941582878
- Enrollment ID: I20191008002365
Medical Identifiers
Medical identifiers for Dr Earl P Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558659698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | RESTRICTED (Louisiana) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 35601 (Alabama) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Louisiana State University School Of Medicine In New Orleans Faculty G | 0244136448 | 381 |
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 Earl P Park allows following entities to bill medicare on his behalf.
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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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 Earl P 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 Earl P Park, DMD MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701 | Dr Earl P Park, DMD MD 2000 6th Ave S, Birmingham, AL 35233-2110 Ph: (205) 934-9999 |
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