Dong-wouk Park, MD is a medicare enrolled "Ophthalmology - Retina Specialist" physician in Longview, Washington. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Oregon Health And Sciences University/university Medical Group, Oregon Health And Sciences University/university Medical Group and his current practice location is
600 Triangle Shopping Ctr Ste 400, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 423-0220.
Dong-wouk Park is licensed to practice in Oregon (license number MD197648) 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 1548600372.
Physician's Profile
Full Name | Dong-wouk Park |
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Gender | Male |
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Speciality | Ophthalmology |
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Experience | 12 Years |
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Location | 600 Triangle Shopping Ctr Ste 400, Longview, Washington |
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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. |
Medical Education and Training:
- Dong-wouk Park graduated from medical school in 2013
NPI Data:
- NPI Number: 1548600372
- Provider Enumeration Date: 06/25/2013
- Last Update Date: 07/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921225723
- Enrollment ID: I20200508002486
Medical Identifiers
Medical identifiers for Dong-wouk Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548600372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | 35.136294 (Ohio) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | MD.61032551 (Washington) | Secondary |
207W00000X | Ophthalmology | 67129 (Wisconsin) | Secondary |
207WX0107X | Ophthalmology - Retina Specialist | MD197648 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
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. Dong-wouk Park allows following entities to bill medicare on his behalf.
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
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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. Dong-wouk 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 |
Dong-wouk Park, MD 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 Ph: (360) 423-0220 | Dong-wouk Park, MD 600 Triangle Shopping Ctr Ste 400, Longview, WA 98632-4677 Ph: (360) 423-0220 |
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