Dr Haewon Park, MD in Bloomington, IN - Medicare Emergency Medicine

Dr Haewon Park, MD is a medicare enrolled "Emergency Medicine" physician in Bloomington, Indiana. Her current practice location is 601 W 2nd St, Bloomington, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 353-6821.

Dr Haewon Park is licensed to practice in Indiana (license number 01053754A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932210598.

Contact Information

	Dr Haewon Park, MD
	601 W 2nd St, Bloomington, IN 47403-2317
	(812) 353-6821
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Haewon Park
Gender	Female
Speciality	Emergency Medicine
Location	601 W 2nd St, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932210598
Provider Enumeration Date: 08/31/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0042381956
Enrollment ID: I20080620000272

Medical Identifiers

Medical identifiers for Dr Haewon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932210598	NPI	-	NPPES
200332500	Medicaid	IN
01053754A	Other	IN	IN LICENSE
01053754B	Other	IN	CSR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	01053754A (Indiana)	Primary

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. Dr Haewon Park allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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 Haewon 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
Dr Haewon Park, MD Po Box 4777, Bloomington, IN 47402-4777 Ph: (812) 336-1690	Dr Haewon Park, MD 601 W 2nd St, Bloomington, IN 47403-2317 Ph: (812) 353-6821

Reviews and Comments

Emergency Medicine Doctors in Bloomington, IN

Ronald C Jenson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4794 Red Oak Ln, Bloomington, IN 47401 Phone: 812-396-9620
Dr. Robert Stone, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 514 W 2nd St, Bloomington, IN 47403 Phone: 812-353-3719 Fax: 812-353-3713
Dr. Christina M Cabott, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 W 2nd St, Bloomington, IN 47403 Phone: 812-336-1690 Fax: 812-349-1325
Otar Datiashvili, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515 Fax: 812-353-9275
Dr. John Austin Lee, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515 Fax: 812-353-9275
Dr. Carlyle George Langhorn Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2651 E Discovery Pkwy, Bloomington, IN 47408 Phone: 812-353-9515
Jonathan D Hart, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2605 E Creeks Edge Dr, Bloomington, IN 47401 Phone: 812-355-2300 Fax: 812-355-2316

Dr Haewon Park, MD - Medicare Emergency Medicine in Bloomington, IN