Grace Lee Park, MD in Urbana, IL - Medicare Family Medicine

Grace Lee Park, MD is a medicare enrolled "Family Medicine" physician in Urbana, Illinois. Her current practice location is 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 333-2711.

Grace Lee Park is licensed to practice in Illinois (license number 036119920) 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 1619147592.

Contact Information

	Grace Lee Park, MD
	1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801
	(217) 333-2711
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace Lee Park
Gender	Female
Speciality	Family Medicine
Location	1109 S. Lincoln Ave., Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619147592
Provider Enumeration Date: 03/06/2008
Last Update Date: 10/10/2017

Medicare PECOS Information:

PECOS PAC ID: 2365513314
Enrollment ID: I20080618000375

Medical Identifiers

Medical identifiers for Grace Lee Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619147592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	036119920 (Illinois)	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. Grace Lee Park allows following entities to bill medicare on her behalf.

Entity Name	Promise Healthcare Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578821005 PECOS PAC ID: 6103071345 Enrollment ID: O20130219000476

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. Grace Lee 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
Grace Lee Park, MD 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 Ph: (217) 333-2711	Grace Lee Park, MD 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 Ph: (217) 333-2711

Reviews and Comments

Family Medicine Doctors in Urbana, IL

Anuja Bedi, D.O, M.P.H Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311
Timtim Apperson, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-954-2805
Sharon L. Moy, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-244-5324
Simone R Hampton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650
Manada Khaing, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311
Stephen M Rudawski, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650
Christian E Wagner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9670 Fax: 217-255-9650

Grace Lee Park, MD - Medicare Family Medicine in Urbana, IL