Chan M Park, MD is a medicare enrolled "Family Medicine" physician in Ridgeway, Virginia. He went to University Of New Mexico School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Oandw Enterprises and his current practice location is
6460 Greensboro Rd, Ridgeway, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 956-2047.
Chan M Park is licensed to practice in Virginia (license number 0101229138) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457467037.
Physician's Profile
| Full Name | Chan M Park |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 28 Years |
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| Location | 6460 Greensboro Rd, Ridgeway, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chan M Park attended and graduated from University Of New Mexico School Of Medicine in 1996
NPI Data:
- NPI Number: 1457467037
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628109360
- Enrollment ID: I20100624000753
Medical Identifiers
Medical identifiers for Chan M Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457467037 | NPI | - | NPPES |
| 010011019 | Medicaid | VA | |
| 463669 | Other | VA | ANTHEM, BCBS OF VIRGINIA |
| A1738 | Other | | MEDCOST PREFERRED |
| 3506280 | Other | | CIGNA |
| 0005372768 | Other | | AETNA |
| 2108815 | Other | | MAMSI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101229138 (Virginia) | 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. Chan M 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 M Park, MD
6460 Greensboro Rd,
Ridgeway, VA 24148-3478
Ph: (276) 956-2047 | Chan M Park, MD
6460 Greensboro Rd,
Ridgeway, VA 24148-3478
Ph: (276) 956-2047 |
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