Dr Joseph Rae Park, MD is a medicare enrolled "Anesthesiology" physician in Fort Moore, Georgia. He went to Southern Illinois University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Sentry Anesthesia Management, Llc and his current practice location is
6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia. You can reach out to his office (for appointments etc.) via phone at
(762) 408-3106.
Dr Joseph Rae Park is licensed to practice in Nebraska (license number 23235) 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 1215971494.
Physician's Profile
Full Name | Dr Joseph Rae Park |
---|
Gender | Male |
---|
Speciality | Anesthesiology |
---|
Experience | 21 Years |
---|
Location | 6600 Van Aalst Blvd Bldg 9250, Fort Moore, Georgia |
---|
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 Joseph Rae Park attended and graduated from Southern Illinois University School Of Medicine in 2003
NPI Data:
- NPI Number: 1215971494
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163823006
- Enrollment ID: I20210629001879
Medical Identifiers
Medical identifiers for Dr Joseph Rae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215971494 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 23235 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
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 Joseph Rae Park allows following entities to bill medicare on his behalf.
Entity Name | Amsol Anesthetists Of Georgia, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1649224775 PECOS PAC ID: 5193780955 Enrollment ID: O20041122000580 |
---|
Entity Name | Sentry Anesthesia Management, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
---|
Entity Name | Radius Anesthesia Of Georgia Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
---|
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 Joseph Rae 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 Joseph Rae Park, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3106 | Dr Joseph Rae Park, MD 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905-2102 Ph: (762) 408-3106 |
Reviews and Comments