Dr Minnsun Koh Park, MD in Jacksonville, FL - Medicare Cardiovascular Disease (cardiology)

Dr Minnsun Koh Park, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jacksonville, Florida. She went to Tulane University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Las Cruces Physician Practices, Llc and her current practice location is 3900 University Blvd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 222-6656.

Dr Minnsun Koh Park is licensed to practice in Florida (license number ME146480) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003158767.

Contact Information

	Dr Minnsun Koh Park, MD
	3900 University Blvd S, Jacksonville, FL 32216-4331
	(904) 222-6656
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Minnsun Koh Park
Gender	Female
Speciality	Cardiovascular Disease (cardiology)
Experience	11 Years
Location	3900 University Blvd S, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Minnsun Koh Park attended and graduated from Tulane University School Of Medicine in 2013

NPI Data:

NPI Number: 1003158767
Provider Enumeration Date: 03/20/2013
Last Update Date: 07/31/2020

Medicare PECOS Information:

PECOS PAC ID: 9931480415
Enrollment ID: I20220509001837

Medical Identifiers

Medical identifiers for Dr Minnsun Koh Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003158767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	ME146480 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Las cruces, NM	Hospital
Gerald Champion Regional Medical Center	Alamogordo, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Las Cruces Physician Practices, Llc	7618974858	81

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 Minnsun Koh Park allows following entities to bill medicare on her behalf.

Entity Name	Sierra Vista Hospital 69
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20040126000840

Entity Name	Las Cruces Physician Practices, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215

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 Minnsun Koh 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 Minnsun Koh Park, MD 3900 University Blvd S, Jacksonville, FL 32216-4331 Ph: (904) 222-6656	Dr Minnsun Koh Park, MD 3900 University Blvd S, Jacksonville, FL 32216-4331 Ph: (904) 222-6656

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sandrela Mussallam Abu Shaibeh, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Dr Minnsun Koh Park, MD - Medicare Cardiovascular Disease (cardiology) in Jacksonville, FL