Dr Ji-weon Park, MD in Lake Forest, IL

Dr Ji-weon Park, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lake Forest, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd # Ll0519, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 535-6218.

Dr Ji-weon Park is licensed to practice in Illinois (license number 036137671) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952573511.

Contact Information

	Dr Ji-weon Park, MD
	1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045-1658
	(847) 535-6218
	(847) 535-6237

Map and Direction

Physician's Profile

Full Name	Dr Ji-weon Park
Gender	Female
Speciality	Pathology
Experience	19 Years
Location	1000 N Westmoreland Rd # Ll0519, Lake Forest, Illinois
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ji-weon Park graduated from medical school in 2005

NPI Data:

NPI Number: 1952573511
Provider Enumeration Date: 03/24/2008
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 6204960867
Enrollment ID: I20150824000203

Medical Identifiers

Medical identifiers for Dr Ji-weon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952573511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	2010009848 (Missouri)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	036137671 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwestern Lake Forest Hospital	Lake forest, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwestern Medical Faculty Foundation	4587576814	3352

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 Ji-weon Park allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	University Pathologists, P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003890534 PECOS PAC ID: 6305839192 Enrollment ID: O20040407000215

Entity Name	Pathology Associates Of Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427370956 PECOS PAC ID: 9638364011 Enrollment ID: O20101110001473

Entity Name	University Pathology Diagnostics Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275088130 PECOS PAC ID: 1052692464 Enrollment ID: O20161223000300

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 Ji-weon 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 Ji-weon Park, MD 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045-1658 Ph: (847) 535-6218	Dr Ji-weon Park, MD 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045-1658 Ph: (847) 535-6218

Reviews and Comments

Pathology Doctors in Lake Forest, IL

Dr. John Chongwon Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6217
Michael P Viglione, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946
Ricardo S Cajulis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946
Richard J Clatch, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946
Cherise Meyerson, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045 Phone: 847-535-6218 Fax: 847-535-6237
Dr. Manuel Raul Montez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045 Phone: 847-337-4752
Dr. Amalia B Digan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-0049

Dr Ji-weon Park, MD - Medicare Pathology in Lake Forest, IL