Andrew John Park, MD is a medicare enrolled "Urology" physician in Mansfield, Ohio. He went to University Of Toledo College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ohiohealth Corporation and his current practice location is
1020 Cricket Ln, Mansfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(567) 309-2040.
Andrew John Park is licensed to practice in Ohio (license number 35.145109) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1730610718.
Physician's Profile
| Full Name | Andrew John Park |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 7 Years |
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| Location | 1020 Cricket Ln, Mansfield, Ohio |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrew John Park attended and graduated from University Of Toledo College Of Medicine in 2017
NPI Data:
- NPI Number: 1730610718
- Provider Enumeration Date: 03/22/2017
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436403656
- Enrollment ID: I20220512001004
Medical Identifiers
Medical identifiers for Andrew John Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730610718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 35.145109 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ohiohealth Corporation | 6305758426 | 1940 |
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 John Park allows following entities to bill medicare on his behalf.
| Entity Name | Ohiohealth Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532 |
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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 John 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 |
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Andrew John Park, MD
Po Box 7527,
Dublin, OH 43017-0727
Ph: () - | Andrew John Park, MD
1020 Cricket Ln,
Mansfield, OH 44906-4104
Ph: (567) 309-2040 |
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