Chan Dong Park, MD in Martinsburg, WV - Medicare Internal Medicine

Chan Dong Park, MD is a medicare enrolled "Internal Medicine" physician in Martinsburg, West Virginia. His current practice location is 1002 Sushruta Dr, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-0913.

Chan Dong Park is licensed to practice in West Virginia (license number 17219) 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 1407815665.

Contact Information

	Chan Dong Park, MD
	1002 Sushruta Dr, Martinsburg, WV 25401-8897
	(304) 263-0913
	(304) 267-2917

Map and Direction

Physician's Profile

Full Name	Chan Dong Park
Gender	Male
Speciality	Internal Medicine
Location	1002 Sushruta Dr, Martinsburg, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407815665
Provider Enumeration Date: 03/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0143363804
Enrollment ID: I20100203000106

Medical Identifiers

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

Identifier	Type	State	Issuer
1407815665	NPI	-	NPPES
0075530000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	17219 (West Virginia)	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. Chan Dong Park allows following entities to bill medicare on his behalf.

Entity Name	University Healthcare Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659625739 PECOS PAC ID: 8325291404 Enrollment ID: O20130124000127

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. Chan Dong 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
Chan Dong Park, MD 1002 Sushruta Dr, Martinsburg, WV 25401-8897 Ph: (304) 263-0913	Chan Dong Park, MD 1002 Sushruta Dr, Martinsburg, WV 25401-8897 Ph: (304) 263-0913

Reviews and Comments

Internal Medicine Doctors in Martinsburg, WV

Dr. Susila Rajakumar, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Martinsburg, WV 25401 Phone: 304-263-0811
Sonia Nasery, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 Sushruta Dr Ste A, Martinsburg, WV 25401 Phone: 571-502-1340
Dr. Philip J A Ryan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Health Care Ln, Suite B, Martinsburg, WV 25401 Phone: 304-260-1060 Fax: 304-260-1062
Samuel Ryan Morris, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Marcley Dr, Martinsburg, WV 25401 Phone: 304-263-8911 Fax: 304-263-9450
Dr. Pradip Chakravarti, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Butler Ave, Martinsburg, WV 25405 Phone: 304-263-0811 Fax: 304-262-1417
Joyce R. Chang, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 Butler Ave, Martinsburg Va Medical Center, Martinsburg, WV 25405 Phone: 304-263-0811
Dr. Robert E Bowen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Foundation Way, Suite 2400, Martinsburg, WV 25401 Phone: 304-264-9080 Fax: 304-264-9082

Chan Dong Park, MD - Medicare Internal Medicine in Martinsburg, WV