Dr Hyunkyu Park, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Detroit, Michigan. His current practice location is
7633 E Jefferson Ave Ste 70, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 499-4962.
Dr Hyunkyu Park is licensed to practice in * (Not Available) (license number ) 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 1851943674.
Healthcare Provider's Profile
| Full Name | Dr Hyunkyu Park |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 7633 E Jefferson Ave Ste 70, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851943674
- Provider Enumeration Date: 07/11/2019
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375900756
- Enrollment ID: I20230530001844
Medical Identifiers
Medical identifiers for Dr Hyunkyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851943674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 30.026852 (Ohio) | Secondary |
| 122300000X | Dentist | D13889 (Minnesota) | Secondary |
| 122300000X | Dentist | 2901601710 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Hyunkyu 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 |
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Dr Hyunkyu Park, DMD
7633 E Jefferson Ave Ste 70,
Detroit, MI 48214-3730
Ph: () - | Dr Hyunkyu Park, DMD
7633 E Jefferson Ave Ste 70,
Detroit, MI 48214-3730
Ph: (313) 499-4962 |
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