Janice Haesun Park, MD in Tualatin, OR - Medicare Obstetrics & Gynecology

Janice Haesun Park, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tualatin, Oregon. Her current practice location is 19250 Sw 65th Ave Ste 300, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 692-1242.

Janice Haesun Park is licensed to practice in Oregon (license number MD214718) 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 1295398840.

Contact Information

	Janice Haesun Park, MD
	19250 Sw 65th Ave Ste 300, Tualatin, OR 97062-7707
	(503) 692-1242
	(503) 691-3615

Map and Direction

Physician's Profile

Full Name	Janice Haesun Park
Gender	Female
Speciality	Obstetrics & Gynecology
Location	19250 Sw 65th Ave Ste 300, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295398840
Provider Enumeration Date: 04/19/2019
Last Update Date: 08/29/2023

Medicare PECOS Information:

PECOS PAC ID: 6709111396
Enrollment ID: I20230912002500

Medical Identifiers

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

Identifier	Type	State	Issuer
1295398840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD214718 (Oregon)	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. Janice Haesun Park allows following entities to bill medicare on her behalf.

Entity Name	Womens Healthcare Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346296142 PECOS PAC ID: 8527054014 Enrollment ID: O20040421000823

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. Janice Haesun 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
Janice Haesun Park, MD 7650 Sw Beveland Rd Ste 200, Portland, OR 97223-8692 Ph: (503) 601-3615	Janice Haesun Park, MD 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062-7707 Ph: (503) 692-1242

Reviews and Comments

Obstetrics & Gynecology Doctors in Tualatin, OR

Gary A Burgoine, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615
Dr. Lori Lea Goranson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Ste 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615
Harold G Vick, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615
Dr. Kerrie Lynn Adams, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 325, Tualatin, OR 97062 Phone: 503-855-1600 Fax: 503-855-1609
Dana G Eustis, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615
Lisa C Pew, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-692-1242 Fax: 503-691-3615

Janice Haesun Park, MD - Medicare Obstetrics & Gynecology in Tualatin, OR