Jae Yoon Park, MD - Medicare Interventional Cardiology in Tucson, AZ

Jae Yoon Park, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Tucson, Arizona. He went to Vanderbilt University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Tucson Medical Center, Pima Heart Physicians Pc and his current practice location is 4729 E Camp Lowell Dr, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 838-3540.

Jae Yoon Park is licensed to practice in Arizona (license number 69610) 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 1962798397.

Contact Information

Jae Yoon Park, MD
4729 E Camp Lowell Dr,
Tucson, AZ 85712-1256
(520) 838-3540
(520) 318-0104

Map and Direction




Physician's Profile

Full NameJae Yoon Park
GenderMale
SpecialityInterventional Cardiology
Experience13 Years
Location4729 E Camp Lowell Dr, Tucson, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jae Yoon Park attended and graduated from Vanderbilt University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1962798397
  • Provider Enumeration Date: 06/23/2011
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204083041
  • Enrollment ID: I20230811003055

Medical Identifiers

Medical identifiers for Jae Yoon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962798397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology T292227 (Massachusetts)Secondary
207R00000XInternal Medicine 55416 (Minnesota)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 55416 (Minnesota)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 69610 (Arizona)Primary
207RC0000XInternal Medicine - Cardiovascular Disease T292227 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tucson Medical CenterTucson, AZHospital
Banner - University Medical Center Tucson CampusTucson, AZHospital
Northwest Medical CenterTucson, AZHospital
Copper Queen Community HospitalBisbee, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tucson Medical Center428452722726
Pima Heart Physicians Pc650775129468

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 Yoon Park allows following entities to bill medicare on his behalf.
Entity NamePima Heart Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730137480
PECOS PAC ID: 6507751294
Enrollment ID: O20040220000507
Entity NameTucson Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174512792
PECOS PAC ID: 4284527227
Enrollment ID: O20040225000516

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 Yoon 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 AddressPractice Location Address
Jae Yoon Park, MD
555 E River Rd Ste 101,
Tucson, AZ 85704-5843

Ph: (520) 838-3540
Jae Yoon Park, MD
4729 E Camp Lowell Dr,
Tucson, AZ 85712-1256

Ph: (520) 838-3540

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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