Dr Chan J Park, MD is a
Surgery physician based in Vermillion, South Dakota. Dr Chan J Park is licensed to practice in South Dakota (license number 5009) and his current practice location is 20 S Plum St, Vermillion, South Dakota. He can be reached at his office (for appointments etc.) via phone at
(605) 624-9111.
NPI number for Dr Chan J Park is 1306894332 and his current mailing address is Po Box 5074, Sioux Falls, South Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306894332.
Physician's Profile
| Full Name | Dr Chan J Park |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 20 S Plum St, Vermillion, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306894332
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 09/12/2013
Medical Identifiers
Medical identifiers for Dr Chan J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306894332 | NPI | - | NPPES |
| 7301822 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 5009 (South Dakota) | 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. Dr Chan J Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Chan J Park, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-6585 | Dr Chan J Park, MD
20 S Plum St,
Vermillion, SD 57069-3346
Ph: (605) 624-9111 |
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