Amy Marie Park, DO - Medicare Obstetrics/gynecology in Centerville, OH

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Amy Marie Park, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Centerville, Ohio. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 7740 Washington Village Dr, Suite 100, Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 531-7900.

Amy Marie Park is licensed to practice in Ohio (license number 34010269) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831366889.

Contact Information

Amy Marie Park, DO
7740 Washington Village Dr, Suite 100,
Centerville, OH 45459-4056
(937) 531-7900
(937) 531-7901

Map and Direction




Physician's Profile

Full NameAmy Marie Park
GenderFemale
SpecialityObstetrics/gynecology
Experience17 Years
Location7740 Washington Village Dr, Centerville, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amy Marie Park graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1831366889
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 01/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6800068974
  • Enrollment ID: I20111013000649

Medical Identifiers

Medical identifiers for Amy Marie Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831366889NPI-NPPES
000000731033OtherOHANTHEM BCBS
0054534MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34010269 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital
Soin Medical CenterBeaver creek, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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. Amy Marie Park allows following entities to bill medicare on her behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529
Entity NameDayton Osteopathic Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588630347
PECOS PAC ID: 7618878877
Enrollment ID: O20040120000374
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Amy Marie 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 AddressPractice Location Address
Amy Marie Park, DO
7740 Washington Village Dr, Suite 100,
Centerville, OH 45459-4056

Ph: (937) 531-7900		Amy Marie Park, DO
7740 Washington Village Dr, Suite 100,
Centerville, OH 45459-4056

Ph: (937) 531-7900

Reviews and Comments


Obstetrics & Gynecology Doctors in Centerville, OH

Jennifer L Cova, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 896 S Main St, Centerville, OH 45458
Phone: 937-433-6513    Fax: 937-291-3398
Dr. Robert A. Little, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6438 Wilmington Pike, Suite 300, Centerville, OH 45459
Phone: 937-848-4850    Fax: 937-848-4858
Dr. Amy M Byerly, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7740 Washington Village Dr, Suite 100, Centerville, OH 45459
Phone: 937-531-7900    Fax: 937-531-7901
Jessica Karp, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7740 Washington Village Dr Ste 110, Centerville, OH 45459
Phone: 937-436-9825    Fax: 937-433-6508
Dr. Rachel K Booth, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 6438 Wilmington Pike Ste 300, Centerville, OH 45459
Phone: 937-848-4850    Fax: 937-848-4858
Radha B Reddy, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 330 N Main St, Centerville, OH 45459
Phone: 937-435-1445    Fax: 937-439-7552
Mrs. Carol A Cooke, CRNP
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6438 Wilmington Pike, Suite 300, Centerville, OH 45459
Phone: 937-848-4850    Fax: 937-848-4858

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.