Hanna Park, MD, MPH in Grand Rapids, MI - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery)

Hanna Park, MD, MPH is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Grand Rapids, Michigan. Her current practice location is 100 Michigan St Ne Rm 8830, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 459-7258.

Hanna Park is licensed to practice in Michigan (license number 4301116177) 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 1679815898.

Contact Information

	Hanna Park, MD, MPH
	100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503
	(616) 459-7258
	Not Available

Map and Direction

Physician's Profile

Full Name	Hanna Park
Gender	Female
Speciality	Thoracic Surgery (cardiothoracic Vascular Surgery)
Location	100 Michigan St Ne Rm 8830, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679815898
Provider Enumeration Date: 03/26/2013
Last Update Date: 12/05/2021

Medicare PECOS Information:

PECOS PAC ID: 0446504849
Enrollment ID: I20200831001578

Medical Identifiers

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

Identifier	Type	State	Issuer
1679815898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	A133676 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208G00000X	Thoracic Surgery (cardiothoracic Vascular Surgery)	4301116177 (Michigan)	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. Hanna Park allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Hanna 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
Hanna Park, MD, MPH 9961 Sierra Ave, Attn: Cardiac Surgery, Fontana, CA 92335 Ph: (909) 427-3615	Hanna Park, MD, MPH 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 Ph: (616) 459-7258

Reviews and Comments

Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Grand Rapids, MI

David Ranney, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258
Dr. Neal Matthew Foley, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 512-789-5674
James Martin Hammel, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 Phone: 616-267-9150
Neal D Hillman, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 Phone: 616-267-9150 Fax: 616-267-4180
Edward T Murphy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215
Marzia Leacche, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215
Mr. John Charles Heiser, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503 Phone: 616-459-7258 Fax: 616-459-5215

Hanna Park, MD, MPH - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI