Dr Seong Hwan Park, DDS is a medicare enrolled "Dentist" provider in Waterbury, Vermont. His current practice location is
77 S Main St, Waterbury, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 244-6366.
Dr Seong Hwan Park is licensed to practice in Vermont (license number 0160134190) 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 1801589346.
Healthcare Provider's Profile
| Full Name | Dr Seong Hwan Park |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 77 S Main St, Waterbury, Vermont |
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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: 1801589346
- Provider Enumeration Date: 05/31/2023
- Last Update Date: 05/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032624366
- Enrollment ID: I20250715002684
Medical Identifiers
Medical identifiers for Dr Seong Hwan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801589346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 0160134190 (Vermont) | 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. Dr Seong Hwan Park allows following entities to bill medicare on his behalf.
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 Seong Hwan 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 Seong Hwan Park, DDS
3512 Childress Ter,
Burtonsville, MD 20866-2016
Ph: (301) 787-1344 | Dr Seong Hwan Park, DDS
77 S Main St,
Waterbury, VT 05676-1555
Ph: (802) 244-6366 |
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