Chan Jerome Park, MD, PHD in Las Vegas, NV

Chan Jerome Park, MD, PHD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Las Vegas, Nevada. He went to Harvard Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Dignity Health Medical Group Nevada Llc and his current practice location is 7190 S Cimarron Rd, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 675-3240.

Chan Jerome Park is licensed to practice in Nevada (license number 20992) 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 1932498722.

Contact Information

	Chan Jerome Park, MD, PHD
	7190 S Cimarron Rd, Las Vegas, NV 89113-2171
	(702) 675-3240
	(702) 982-6347

Map and Direction

Physician's Profile

Full Name	Chan Jerome Park
Gender	Male
Speciality	Thoracic Surgery
Experience	23 Years
Location	7190 S Cimarron Rd, Las Vegas, Nevada
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:

Chan Jerome Park attended and graduated from Harvard Medical School in 2001

NPI Data:

NPI Number: 1932498722
Provider Enumeration Date: 03/31/2011
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 4486949401
Enrollment ID: I20210525000936

Medical Identifiers

Medical identifiers for Chan Jerome Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932498722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	20992 (Nevada)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Rose Dominican Hospitals - San Martin Campus	Las vegas, NV	Hospital
Saint Rose Dominican Hospitals - Siena Campus	Henderson, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dignity Health Medical Group Nevada Llc	1254571896	65

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. Chan Jerome Park allows following entities to bill medicare on his behalf.

Entity Name	Dignity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720358039 PECOS PAC ID: 2062320559 Enrollment ID: O20121008000152

Entity Name	Dignity Health Medical Group Nevada Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376805416 PECOS PAC ID: 1254571896 Enrollment ID: O20130703000051

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 Jerome 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 Jerome Park, MD, PHD Po Box 33269, Phoenix, AZ 85067-3269 Ph: (602) 406-4786	Chan Jerome Park, MD, PHD 7190 S Cimarron Rd, Las Vegas, NV 89113-2171 Ph: (702) 675-3240

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Las Vegas, NV

Walter J Ehrman, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 401 N Buffalo Dr Ste 100, Las Vegas, NV 89145 Phone: 702-240-6482
Dr. Larry F Cohler, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3061 S Maryland Pkwy, Suite 202, Las Vegas, NV 89109 Phone: 702-731-0022 Fax: 702-731-0292
Eric J Keyser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 3201 S Maryland Pkwy Ste 404, Las Vegas, NV 89109 Phone: 702-962-0000
Harbinder Singh, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 5380 S Rainbow Blvd Ste 110, Las Vegas, NV 89118 Phone: 725-333-8465 Fax: 725-333-8466
Yvonne Marie Carter, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1707 W Charleston Blvd Ste 160, Las Vegas, NV 89102 Phone: 702-671-5150
Dr. Michael L Ciccolo, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169 Phone: 702-732-1290 Fax: 702-260-1926
Dr. Juan Manuel Lehoux, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 230, Las Vegas, NV 89169 Phone: 702-732-1290 Fax: 702-732-1385

Chan Jerome Park, MD, PHD - Medicare Thoracic Surgery in Las Vegas, NV