Dr Jae Hong Park, - Otolaryngology in Detroit, MI

Dr Jae Hong Park, is a Otolaryngology physician based in Detroit, Michigan. Dr Jae Hong Park is licensed to practice in Michigan (license number 4351048809) and his current practice location is 4100 John R St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (248) 854-4576.

NPI number for Dr Jae Hong Park is 1396407011 and his current mailing address is 1363 Dorothea Rd, Berkley, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396407011.

Contact Information

Dr Jae Hong Park,
4100 John R St,
Detroit, MI 48201-2013
(248) 854-4576
Not Available

Map and Direction




Physician's Profile

Full NameDr Jae Hong Park
GenderMale
SpecialityOtolaryngology
Location4100 John R St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1396407011
  • Provider Enumeration Date: 10/11/2021
  • Last Update Date: 10/11/2021

Medical Identifiers

Medical identifiers for Dr Jae Hong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396407011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 4351048809 (Michigan)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 Jae Hong 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 AddressPractice Location Address
Dr Jae Hong Park,
1363 Dorothea Rd,
Berkley, MI 48072-2148

Ph: (248) 854-4576
Dr Jae Hong Park,
4100 John R St,
Detroit, MI 48201-2013

Ph: (248) 854-4576

Reviews and Comments


Otolaryngology Doctors in Detroit, MI

Dr. Samba Siva Reddy Bathula, M.D
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201
Phone: 313-966-9471    Fax: 313-966-9470
Dr. Kathleen L. Yaremchuk, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-3275    Fax: 313-916-7263
Dr. Lamont Jones, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Department Of Otolaryngology, Henry Ford Hospital, Detroit, MI 48202
Phone: 313-916-3272    Fax: 313-916-7263
Dr. Joshua Romero, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Robert Hadi Deeb, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-3275    
Nathan Gonik, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Beaubien St, Suite 2102, Detroit, MI 48201
Phone: 313-966-6443    Fax: 313-745-0747
Dr. Ilaaf Darrat, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-587-3523    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.