Dr Kenneth H Park, DO is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Oradell, New Jersey. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2002 and has 22 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Medical Associates Of Englewood Pc and his current practice location is
680 Kinderkamack Rd, Suite 207, Oradell, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 487-7246.
Dr Kenneth H Park is licensed to practice in New Jersey (license number 25MB08263300) 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 1609881978.
Physician's Profile
Full Name | Dr Kenneth H Park |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 22 Years |
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Location | 680 Kinderkamack Rd, Oradell, New Jersey |
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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 Kenneth H Park attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2002
NPI Data:
- NPI Number: 1609881978
- Provider Enumeration Date: 07/29/2006
- Last Update Date: 03/07/2012
Medicare PECOS Information:
- PECOS PAC ID: 1557366481
- Enrollment ID: I20070906000259
Medical Identifiers
Medical identifiers for Dr Kenneth H Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609881978 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 25MB08263300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Medical Associates Of Englewood Pc | 1355512252 | 526 |
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 Kenneth H Park allows following entities to bill medicare on his behalf.
Entity Name | Bergen Anesthesia Associates P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407965080 PECOS PAC ID: 3072400084 Enrollment ID: O20040303001017 |
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Entity Name | Medical Associates Of Englewood Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952681918 PECOS PAC ID: 1355512252 Enrollment ID: O20110927000020 |
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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 Kenneth 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 Kenneth H Park, DO 680 Kinderkamack Rd, Suite 207, Oradell, NJ 07649-1600 Ph: (201) 487-7246 | Dr Kenneth H Park, DO 680 Kinderkamack Rd, Suite 207, Oradell, NJ 07649-1600 Ph: (201) 487-7246 |
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