Andrew Ji Hoon Park, MD in Detroit, MI - Medicare Emergency Medicine

Andrew Ji Hoon Park, MD is a medicare enrolled "Emergency Medicine" physician in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-2600.

Andrew Ji Hoon Park is licensed to practice in Michigan (license number 4301508806) 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 1871121012.

Contact Information

	Andrew Ji Hoon Park, MD
	2799 W Grand Blvd, Detroit, MI 48202-2608
	(313) 916-2600
	(313) 916-7437

Map and Direction

Physician's Profile

Full Name	Andrew Ji Hoon Park
Gender	Male
Speciality	Emergency Medicine
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871121012
Provider Enumeration Date: 04/01/2020
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4284099581
Enrollment ID: I20230505001215

Medical Identifiers

Medical identifiers for Andrew Ji Hoon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871121012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301508806 (Michigan)	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. Andrew Ji Hoon Park allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

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. Andrew Ji Hoon 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
Andrew Ji Hoon Park, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600	Andrew Ji Hoon Park, MD 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600

Reviews and Comments

Emergency Medicine Doctors in Detroit, MI

Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Dr. Gerard Edward Heath, MD, MBA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600
Dr. Robert T Malinowski, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Dr. Kamal K Nangia, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8040
Dr. Matthew J Griffin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-3300
Gregory L. Hays, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436
Brooke M Frakes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6071 W Outer Dr, Detroit, MI 48235 Phone: 313-966-1024

Andrew Ji Hoon Park, MD - Medicare Emergency Medicine in Detroit, MI