Daniel Ilwoo Park, MD in Jbsa Ft Sam Houston, TX

Daniel Ilwoo Park, MD is a medicare enrolled "General Practice" physician in Jbsa Ft Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 916-4808.

Daniel Ilwoo Park is licensed to practice in Nebraska (license number 31126) 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 1376070359.

Contact Information

	Daniel Ilwoo Park, MD
	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504
	(210) 916-4808
	(210) 916-3366

Map and Direction

Physician's Profile

Full Name	Daniel Ilwoo Park
Gender	Male
Speciality	General Practice
Location	3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376070359
Provider Enumeration Date: 05/22/2017
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5496126534
Enrollment ID: I20230127000476

Medical Identifiers

Medical identifiers for Daniel Ilwoo Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376070359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	31126 (Nebraska)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Daniel Ilwoo 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
Daniel Ilwoo Park, MD Cmr 388 Box 1072, Apo, AP 96208-0011 Ph: () -	Daniel Ilwoo Park, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-4808

Reviews and Comments

General Practice Doctors in Jbsa Ft Sam Houston, TX

Steven Todd Stoffel, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5910 Fax: 210-916-2077
Dr. Brandon Lee Myers, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4141
Tyler Doty, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545
Alan Hans, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Saushec Emergency Medicine Residency, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-6129
Elizabeth Lee Carpenter, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-292-5077 Fax: 210-292-7868
Dr. Benjamin Memmott, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5545
Jacob Tindle, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545

Daniel Ilwoo Park, MD - Medicare General Practice in Jbsa Ft Sam Houston, TX