Dr Jong Ho Park, MD, MPH - Medicare Diagnostic Radiology in Lakeland, FL

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Dr Jong Ho Park, MD, MPH is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Lakeland, Florida. He went to State University Of New York Downstate Medical Center and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology And Imaging Specialists Of Lakeland, Baycare Outpatient Imaging Llc and his current practice location is 2125 Crystal Grove Dr, Lakeland, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 688-2334.

Dr Jong Ho Park is licensed to practice in Florida (license number ME119926) 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 1326208034.

Contact Information

Dr Jong Ho Park, MD, MPH
2125 Crystal Grove Dr,
Lakeland, FL 33801-6875
(863) 688-2334
Not Available

Map and Direction




Physician's Profile

Full NameDr Jong Ho Park
GenderMale
SpecialityDiagnostic Radiology
Experience16 Years
Location2125 Crystal Grove Dr, Lakeland, Florida
Accepts Medicare AssignmentsYes. 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 Jong Ho Park attended and graduated from State University Of New York Downstate Medical Center in 2008
  NPI Data:
  • NPI Number: 1326208034
  • Provider Enumeration Date: 06/16/2008
  • Last Update Date: 06/17/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1658598685
  • Enrollment ID: I20140814001152

Medical Identifiers

Medical identifiers for Dr Jong Ho Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326208034NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 254362 (New York)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology ME119926 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lakeland Regional Medical CenterLakeland, FLHospital
Winter Haven HospitalWinter haven, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology And Imaging Specialists Of Lakeland226442229458
Baycare Outpatient Imaging Llc357780408773

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 Jong Ho Park allows following entities to bill medicare on his behalf.
Entity NameManatee Memorial Hospital L P
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770505687
PECOS PAC ID: 2062309164
Enrollment ID: O20060221000789
Entity NameRadiology & Imaging Specialists Of Lakeland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427049931
PECOS PAC ID: 2264422294
Enrollment ID: O20090306000484
Entity NameBaycare Outpatient Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417423377
PECOS PAC ID: 3577804087
Enrollment ID: O20190410002311

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 Jong Ho 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 AddressPractice Location Address
Dr Jong Ho Park, MD, MPH
9707 63rd Rd Apt 3l,
Rego Park, NY 11374-1610

Ph: (718) 278-5138		Dr Jong Ho Park, MD, MPH
2125 Crystal Grove Dr,
Lakeland, FL 33801-6875

Ph: (863) 688-2334

Reviews and Comments


Radiology Doctors in Lakeland, FL

Dr. Kevin James Sawyer, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801
Phone: 863-688-2334    
Dr. Yelena Kozirovsky, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1420 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7000    Fax: 866-264-8519
Dr. Michael Larone Campbell, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-688-2334    
Michael K Gordon, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2115 Crystal Grove Dr, Lakeland, FL 33801
Phone: 863-688-2334    Fax: 863-577-0303
Devashri Patel,
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-688-2334    
Alexander J Fernandez, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801
Phone: 863-688-2334    
Jaehoon Bang, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805
Phone: 863-680-7000    Fax: 866-264-8519

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.