Jae Hyung Park, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Sun City, Arizona. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice The Pain Center Of Arizona, Pc and his current practice location is
13203 N 103rd Ave Ste H5, Sun City, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 777-4747.
Jae Hyung Park is licensed to practice in Arizona (license number 59983) 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 1255727889.
Physician's Profile
| Full Name | Jae Hyung Park |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 10 Years |
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| Location | 13203 N 103rd Ave Ste H5, Sun City, Arizona |
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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. |
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Medical Education and Training:
- Jae Hyung Park graduated from medical school in 2015
NPI Data:
- NPI Number: 1255727889
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214210517
- Enrollment ID: I20200812000440
Medical Identifiers
Medical identifiers for Jae Hyung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255727889 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 59983 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Pain Center Of Arizona, Pc | 0749183325 | 19 |
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. Jae Hyung Park allows following entities to bill medicare on his behalf.
| Entity Name | The Pain Center Of Arizona, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871650739
PECOS PAC ID: 0749183325
Enrollment ID: O20040130000365 |
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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. Jae Hyung 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 |
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Jae Hyung Park,
5281 N 99th Ave Ste 100,
Glendale, AZ 85305-2209
Ph: (623) 516-8252 | Jae Hyung Park,
13203 N 103rd Ave Ste H5,
Sun City, AZ 85351-3032
Ph: (623) 777-4747 |
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