Dr Josephine H Park, MD in Fayetteville, AR

Dr Josephine H Park, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Arkansas. Her current practice location is 3380 N Futrall Dr Ste 1, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 442-7322.

Dr Josephine H Park is licensed to practice in Arkansas (license number E4028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811977416.

Contact Information

	Dr Josephine H Park, MD
	3380 N Futrall Dr Ste 1, Fayetteville, AR 72703
	(479) 442-7322
	(479) 442-7379

Map and Direction

Physician's Profile

Full Name	Dr Josephine H Park
Gender	Female
Speciality	Pediatrics
Location	3380 N Futrall Dr Ste 1, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811977416
Provider Enumeration Date: 01/19/2006
Last Update Date: 12/29/2021

Medicare PECOS Information:

PECOS PAC ID: 1951386283
Enrollment ID: I20040622000047

Medical Identifiers

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

Identifier	Type	State	Issuer
1811977416	NPI	-	NPPES
154123001	Medicaid	AR
5M857	Other	AR	AR BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E4028 (Arkansas)	Primary

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 Josephine H Park allows following entities to bill medicare on her behalf.

Entity Name	Medical Associates Of Northwest Arkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671

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 Josephine H 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 Josephine H Park, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038	Dr Josephine H Park, MD 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Ph: (479) 442-7322

Reviews and Comments

Pediatrics Doctors in Fayetteville, AR

Laureen J. Benafield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Virginia Lee Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Sean M. Livingston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Dr. Neil A Tracy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3215 N. North Hill Road, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Meredith Anne Denton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Charles S. Ball, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Matthew G Cheadle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000

Dr Josephine H Park, MD - Medicare Pediatrics in Fayetteville, AR