Dr James Park, DMD is a medicare enrolled "Dentist" provider in Bushnell, Florida. His current practice location is
65 Cr 542w, Bushnell, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 569-0100.
Dr James Park is licensed to practice in Florida (license number DN 21873) 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 1245689728.
Healthcare Provider's Profile
Full Name | Dr James Park |
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Gender | Male |
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Speciality | Dentist |
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Location | 65 Cr 542w, Bushnell, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245689728
- Provider Enumeration Date: 06/06/2016
- Last Update Date: 11/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123312261
- Enrollment ID: I20160811001893
Medical Identifiers
Medical identifiers for Dr James Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245689728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DN 21873 (Florida) | 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 James 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 Park, DMD 65 Cr 542w, Bushnell, FL 33513-4515 Ph: (352) 569-0100 | Dr James Park, DMD 65 Cr 542w, Bushnell, FL 33513-4515 Ph: (352) 569-0100 |
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