Tracey Park, DDS in Puyallup, WA - Medicare Dentist Provider

Tracey Park, DDS is a medicare enrolled "Dentist" provider in Puyallup, Washington. Her current practice location is 702 S Hill Park Dr Ste 201, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at (855) 433-6825.

Tracey Park is licensed to practice in Washington (license number DE60879733) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104306729.

Contact Information

	Tracey Park, DDS
	702 S Hill Park Dr Ste 201, Puyallup, WA 98373-1426
	(855) 433-6825
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tracey Park
Gender	Female
Speciality	Dentist
Location	702 S Hill Park Dr Ste 201, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104306729
Provider Enumeration Date: 08/14/2018
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9133471915
Enrollment ID: I20181004002984

Medical Identifiers

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

Identifier	Type	State	Issuer
1104306729	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60879733 (Washington)	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. Tracey 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
Tracey Park, DDS 6950 Ne Campus Way, Hillsboro, OR 97124-5611 Ph: (855) 433-6825	Tracey Park, DDS 702 S Hill Park Dr Ste 201, Puyallup, WA 98373-1426 Ph: (855) 433-6825

Reviews and Comments

Dentist in Puyallup, WA

Angela Leigh Dunn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 8012 112th Street Ct E, Suite #320, Puyallup, WA 98373 Phone: 253-848-2331 Fax: 253-840-4033
Dr. Philip Werner Kaiser, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16810 Meridian E, Suite J107, Puyallup, WA 98375 Phone: 253-848-7777
Dr. Gibran Hyder, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8012 112th Street Ct E Ste 320, Puyallup, WA 98373 Phone: 253-848-2331
Dr. Theressa Mah, DMD Dentist Medicare: Medicare Enrolled Practice Location: 10228 156th St E Ste 101, Puyallup, WA 98374 Phone: 253-840-0540
Dr. Ching Ju Chuang, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 Phone: 253-200-0695
Dr. Violeta Atanasova Stoyanova, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12005 Meridian E Ste 102, Puyallup, WA 98373 Phone: 253-214-9293
Nicolette Ann Hecita Bulaon, DMD Dentist Medicare: Medicare Enrolled Practice Location: 16810 Meridian E Ste J107, Puyallup, WA 98375 Phone: 253-848-7777

Tracey Park, DDS - Medicare Dentist in Puyallup, WA