Dr Jaehyeon Park, MD in Rolla, MO - Medicare Family Practice

Dr Jaehyeon Park, MD is a medicare enrolled "Family Medicine" physician in Rolla, Missouri. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1605 Martin Springs Dr Ste 230, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 458-6326.

Dr Jaehyeon Park is licensed to practice in Missouri (license number 2022025511) 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 1447802681.

Contact Information

	Dr Jaehyeon Park, MD
	1605 Martin Springs Dr Ste 230, Rolla, MO 65401-2980
	(573) 458-6326
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jaehyeon Park
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	1605 Martin Springs Dr Ste 230, Rolla, Missouri
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:

Dr Jaehyeon Park graduated from medical school in 2019

NPI Data:

NPI Number: 1447802681
Provider Enumeration Date: 07/09/2019
Last Update Date: 07/22/2022

Medicare PECOS Information:

PECOS PAC ID: 6901131911
Enrollment ID: I20220726002792

Medical Identifiers

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

Identifier	Type	State	Issuer
1447802681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125-075031 (Illinois)	Secondary
207Q00000X	Family Medicine	2022025511 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Lebanon	Lebanon, MO	Hospital
Phelps County Regional Medical Center	Rolla, MO	Hospital
Mercy Hospital Springfield	Springfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic Springfield Communities	7416865845	933

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 Jaehyeon Park allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

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 Jaehyeon 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 Jaehyeon Park, MD 1605 Martin Springs Dr Ste 230, Rolla, MO 65401-2980 Ph: (573) 458-6326	Dr Jaehyeon Park, MD 1605 Martin Springs Dr Ste 230, Rolla, MO 65401-2980 Ph: (573) 458-6326

Reviews and Comments

Family Medicine Doctors in Rolla, MO

Dr. Katie Elizabeth Hern, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401 Phone: 573-458-6350 Fax: 573-458-6764
Dr. Omofolarin Babatunji Fasuyi, M.D, M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401 Phone: 573-458-6326
Dr. Randall G. Dudik, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Luther D. Spurlock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401 Phone: 573-341-3043 Fax: 573-341-5208
Dr. Kimberly D. Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1081 E 18th St, Rolla, MO 65401 Phone: 734-262-4075 Fax: 573-426-6723
Mr. Matthew Timothy Porter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Laurel Dr, Rolla, MO 65401 Phone: 573-596-1765

Dr Jaehyeon Park, MD - Medicare Family Practice in Rolla, MO