Etern S Park, DDS, MD in Wilmington, DE - Medicare Oral Surgery Provider

Etern S Park, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Wilmington, Delaware. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Christiana Care Health Services Inc and his current practice location is 501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 320-5730.

Etern S Park is licensed to practice in New York (license number 053210) 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 1124289905.

Contact Information

	Etern S Park, DDS, MD
	501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, DE 19801-2200
	(302) 320-5730
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Etern S Park
Gender	Male
Speciality	Oral Surgery
Experience	16 Years
Location	501 West 14th Street, Wilmington, Delaware
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:

Etern S Park graduated from medical school in 2008

NPI Data:

NPI Number: 1124289905
Provider Enumeration Date: 06/24/2008
Last Update Date: 12/10/2018

Medicare PECOS Information:

PECOS PAC ID: 9537302542
Enrollment ID: I20160908002619

Medical Identifiers

Medical identifiers for Etern S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124289905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	C1-0011804 (Delaware)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	G3-0000458 (Delaware)	Secondary
204E00000X	Oral & Maxillofacial Surgery	269333 (New York)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	053210 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christiana Hospital	Newark, DE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christiana Care Health Services Inc	9739097569	1265

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. Etern S Park allows following entities to bill medicare on his behalf.

Entity Name	Christiana Care Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194073411 PECOS PAC ID: 9739097569 Enrollment ID: O20121129000217

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. Etern S 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
Etern S Park, DDS, MD 501 W 14th St Ste 2w44, Wilmington, DE 19801-1013 Ph: (302) 320-5730	Etern S Park, DDS, MD 501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, DE 19801-2200 Ph: (302) 320-5730

Reviews and Comments

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Dr. Allan Charles Goldfeder, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 2415 Milltown Rd, Wilmington, DE 19808 Phone: 302-994-1782 Fax: 302-994-0357
Dr. Debra Joan Pace, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1405 Silverside Rd, Wilmington, DE 19810 Phone: 302-529-2500 Fax: 302-529-2503
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Etern S Park, DDS, MD - Medicare Dentist in Wilmington, DE