Christopher Lane Park, DO in Pontotoc, MS

Christopher Lane Park, DO is a medicare enrolled "Family Medicine" physician in Pontotoc, Mississippi. His current practice location is 11 E Jefferson St, Pontotoc, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 499-2802.

Christopher Lane Park is licensed to practice in Mississippi (license number 19482) 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 1710181078.

Contact Information

	Christopher Lane Park, DO
	11 E Jefferson St, Pontotoc, MS 38863-2807
	(662) 499-2802
	(866) 939-1560

Map and Direction

Physician's Profile

Full Name	Christopher Lane Park
Gender	Male
Speciality
Experience	Years
Location	11 E Jefferson St, Pontotoc, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Christopher Lane Park attended and graduated from in

NPI Data:

NPI Number: 1710181078
Provider Enumeration Date: 06/12/2007
Last Update Date: 03/04/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Christopher Lane Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710181078	NPI	-	NPPES
06575065	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	19482 (Mississippi)	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. Christopher Lane 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
Christopher Lane Park, DO 542 Cedar Hill Dr, Pontotoc, MS 38863-7262 Ph: (662) 397-4597	Christopher Lane Park, DO 11 E Jefferson St, Pontotoc, MS 38863-2807 Ph: (662) 499-2802

Reviews and Comments

Family Medicine Doctors in Pontotoc, MS

Steven Nicholas Dirmeyer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938
Timothy Frank Thompson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989
Dr. Jennifer Dawn Lowery, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430
Mrs. Flavia H West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 S Main St, Pontotoc, MS 38863 Phone: 662-489-5038 Fax: 662-489-7004
Stephen Montgomery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 345 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7430 Fax: 662-489-7938
Randel Gibson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 353 Highway 15 N, Pontotoc, MS 38863 Phone: 662-490-1985 Fax: 662-490-1989

Christopher Lane Park, DO - Medicare in Pontotoc, MS