Heather Pennell Park, MD in Carrollton, GA

Heather Pennell Park, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Carrollton, Georgia. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Vascular Surgery. She is a member of the group practice Tanner Medical Group and her current practice location is 157 Clinic Ave, Suite 302, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 812-5902.

Heather Pennell Park is licensed to practice in Georgia (license number 67715) 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 1851510119.

Contact Information

	Heather Pennell Park, MD
	157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454
	(770) 812-5902
	(770) 812-5903

Map and Direction

Physician's Profile

Full Name	Heather Pennell Park
Gender	Female
Speciality	Vascular Surgery
Experience	12 Years
Location	157 Clinic Ave, Carrollton, Georgia
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:

Heather Pennell Park attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2012

NPI Data:

NPI Number: 1851510119
Provider Enumeration Date: 04/25/2007
Last Update Date: 03/14/2016

Medicare PECOS Information:

PECOS PAC ID: 3072769223
Enrollment ID: I20120803000666

Medical Identifiers

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

Identifier	Type	State	Issuer
1851510119	NPI	-	NPPES
003124240A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	67715 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tanner Home Health Services	Carrollton, GA	Home health agency
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tanner Medical Group	2769536143	98

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. Heather Pennell Park allows following entities to bill medicare on her behalf.

Entity Name	Tanner Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657

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. Heather Pennell 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
Heather Pennell Park, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710	Heather Pennell Park, MD 157 Clinic Ave, Suite 302, Carrollton, GA 30117-4454 Ph: (770) 812-5902

Reviews and Comments

Surgery Doctors in Carrollton, GA

Austin J Lewis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave Ste 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2331
Stephen Housman Kahler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117 Phone: 770-834-6302 Fax: 770-834-7660
David W Griffin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave, Suite 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2136
Dr. Scott Alvin Denham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave, Suite 302, Carrollton, GA 30117 Phone: 770-838-3336 Fax: 770-832-2331
Dr. James Thomas Ingram, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 391 Foggy Bottom Dr, Carrollton, GA 30116 Phone: 770-836-1912
Jose E Espinel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave Ste 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2331
Thomas E Reeve Iii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 157 Clinic Ave, Suite 302, Carrollton, GA 30117 Phone: 770-834-3336 Fax: 770-832-2136

Heather Pennell Park, MD - Medicare Vascular Surgery in Carrollton, GA