Frederick Kim Park, MD is a medicare enrolled "Plastic Surgery" physician in Rocky Mount, North Carolina. His current practice location is
4008 Capital Drive, Rocky Mount, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 937-5003.
Frederick Kim Park is licensed to practice in North Carolina (license number 36793) 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 1407964547.
Physician's Profile
Full Name | Frederick Kim Park |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 4008 Capital Drive, Rocky Mount, North Carolina |
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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:
- Frederick Kim Park attended and graduated from in
NPI Data:
- NPI Number: 1407964547
- Provider Enumeration Date: 08/28/2006
- Last Update Date: 02/18/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Frederick Kim Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407964547 | NPI | - | NPPES |
65228 | Other | NC | BCBS |
7965228 | Medicaid | NC | |
P00159404 | Other | NC | RAILROAD MEDICARE |
DC2876 | Other | NC | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 36793 (North Carolina) | Primary |
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. Frederick Kim 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 |
Frederick Kim Park, MD 4008 Capital Drive, Rocky Mount, NC 27804 Ph: (252) 937-5003 | Frederick Kim Park, MD 4008 Capital Drive, Rocky Mount, NC 27804 Ph: (252) 937-5003 |
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