Benjamin Park, MD is a
Preventive Medicine - Aerospace Medicine physician based in Minot Afb, North Dakota. Benjamin Park is licensed to practice in Indiana (license number 01062522A) and his current practice location is 194 Missile Ave, Minot Afb, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 723-5100.
NPI number for Benjamin Park is 1144239740 and his current mailing address is 194 Missile Ave, Minot Afb, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144239740.
Physician's Profile
| Full Name | Benjamin Park |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 194 Missile Ave, Minot Afb, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144239740
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 05/23/2018
Medical Identifiers
Medical identifiers for Benjamin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144239740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01062522A (Indiana) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 01062522A (Indiana) | 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. Benjamin Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Benjamin Park, MD
194 Missile Ave,
Minot Afb, ND 58705
Ph: (701) 723-5100 | Benjamin Park, MD
194 Missile Ave,
Minot Afb, ND 58705
Ph: (701) 723-5100 |
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