Eugene L Park, MD is a medicare enrolled "Urology" physician in Petersburg, Virginia. He went to Northwestern University Feinberg Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Urology. He is a member of the group practice Bon Secours Medical Group Richmond Specialty Care Llc and his current practice location is
40 Medical Park Blvd Ste D, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 765-6100.
Eugene L Park is licensed to practice in Virginia (license number 0101247088) 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 1992707137.
Physician's Profile
Full Name | Eugene L Park |
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Gender | Male |
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Speciality | Urology |
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Experience | 26 Years |
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Location | 40 Medical Park Blvd Ste D, Petersburg, Virginia |
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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:
- Eugene L Park attended and graduated from Northwestern University Feinberg Medical School in 1998
NPI Data:
- NPI Number: 1992707137
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 02/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264421916
- Enrollment ID: I20100921001348
Medical Identifiers
Medical identifiers for Eugene L Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992707137 | NPI | - | NPPES |
1992707137 | Medicaid | VA | |
860777 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 0101247088 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 250 |
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. Eugene L Park allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
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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. Eugene L 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 |
Eugene L Park, MD 8580 Magellan Pkwy, Richmond, VA 23227-1149 Ph: (804) 765-6100 | Eugene L Park, MD 40 Medical Park Blvd Ste D, Petersburg, VA 23805 Ph: (804) 765-6100 |
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