Sungbum Park, DDS in Oxon Hill, MD - Medicare Dentist Provider

Sungbum Park, DDS is a medicare enrolled "Dentist - General Practice" provider in Oxon Hill, Maryland. His current practice location is 6196 Oxon Hill Rd Ste 540, Oxon Hill, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 686-1665.

Sungbum Park is licensed to practice in Maryland (license number 16038) 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 1366692147.

Contact Information

	Sungbum Park, DDS
	6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745-3112
	(301) 686-1665
	(301) 686-1779

Map and Direction

Healthcare Provider's Profile

Full Name	Sungbum Park
Gender	Male
Speciality	Dentist - General Practice
Location	6196 Oxon Hill Rd Ste 540, Oxon Hill, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366692147
Provider Enumeration Date: 09/29/2008
Last Update Date: 09/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4183078322
Enrollment ID: I20230921003717

Medical Identifiers

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

Identifier	Type	State	Issuer
1366692147	NPI	-	NPPES
415611100	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	16038 (Maryland)	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. Sungbum Park allows following entities to bill medicare on his behalf.

Entity Name	Greater Baden Medical Service Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20051017000645

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. Sungbum 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
Sungbum Park, DDS 6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745-3112 Ph: (301) 686-1665	Sungbum Park, DDS 6196 Oxon Hill Rd Ste 540, Oxon Hill, MD 20745-3112 Ph: (301) 686-1665

Reviews and Comments

Dentist in Oxon Hill, MD

Dr. Elizabeth Sharpe Morris, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, Suite 406, Oxon Hill, MD 20745 Phone: 301-839-6330 Fax: 301-839-6753
Dr. Jeannette E Suh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 Audrey Ln, Suite A, Oxon Hill, MD 20745 Phone: 301-567-5437 Fax: 301-567-5456
Dr. Mitra Hedayeti Vahdani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, 2nd Floor, Oxon Hill, MD 20745 Phone: 301-567-3122 Fax: 301-567-5234
Dr. Marleen E Williamson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6196 Oxon Hill Rd, Ste 390, Oxon Hill, MD 20745 Phone: 301-839-0495
Shwetha Kyatham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6188 Oxon Hill Rd, 2nd Floor, Oxon Hill, MD 20745 Phone: 301-567-3122 Fax: 301-567-5234
Dr. Paul K. Piontkowski, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6420 Bock Rd, Oxon Hill, MD 20745 Phone: 301-839-0055 Fax: 301-747-2350
John Bushrod, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6710 Oxon Hill Rd Ste 170, Oxon Hill, MD 20745 Phone: 301-686-0710

Sungbum Park, DDS - Medicare Dentist in Oxon Hill, MD