Jason Park, MD in Kingsport, TN - Medicare Orthopedic Surgery

Jason Park, MD is a medicare enrolled "Orthopaedic Surgery" physician in Kingsport, Tennessee. He went to Wayne State University School Of Medicine and graduated in 2002 and has 23 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Dominion Health And Fitness, Inc, Holston Medical Group Pc and his current practice location is 105 W Stone Dr, Ste 4b, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 578-1570.

Jason Park is licensed to practice in Tennessee (license number 42228) 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 1457554826.

Contact Information

	Jason Park, MD
	105 W Stone Dr, Ste 4b, Kingsport, TN 37660-3256
	(423) 578-1570
	Not Available

Map and Direction

Physician's Profile

Full Name	Jason Park
Gender	Male
Speciality	Orthopedic Surgery
Experience	23 Years
Location	105 W Stone Dr, Kingsport, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jason Park attended and graduated from Wayne State University School Of Medicine in 2002

NPI Data:

NPI Number: 1457554826
Provider Enumeration Date: 06/06/2007
Last Update Date: 09/23/2009

Medicare PECOS Information:

PECOS PAC ID: 3577657972
Enrollment ID: I20070917000098

Medical Identifiers

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

Identifier	Type	State	Issuer
1457554826	NPI	-	NPPES
3000606	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	42228 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advanced Home Care Inc	Kingsport, TN	Home health agency
Advanced Home Care, Inc	Greeneville, TN	Home health agency
Advanced Home Health	Wise, VA	Home health agency
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Lonesome Pine Hospital	Big stone gap, VA	Hospital
Greeneville Community Hospital	Greeneville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Health And Fitness, Inc	3274570908	18
Holston Medical Group Pc	8224935754	227

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. Jason Park allows following entities to bill medicare on his behalf.

Entity Name	Holston Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831110667 PECOS PAC ID: 8224935754 Enrollment ID: O20031216000416

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. Jason 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
Jason Park, MD Po Box 9, Kingsport, TN 37662-0009 Ph: (423) 857-2091	Jason Park, MD 105 W Stone Dr, Ste 4b, Kingsport, TN 37660-3256 Ph: (423) 578-1570

Reviews and Comments

Orthopaedic Surgery Doctors in Kingsport, TN

Michael Donald Stallard, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-6161 Fax: 423-245-8915
Dr. Patrick Jon Riggins, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129
Dr. Mark William Griffith, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129
Dr. Galen R. Smith, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129
Dr. Howard Mize Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2202 John B Dennis Hwy, Suite 100, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129
Dr. Jared Cordon, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 430 W Ravine Rd, Kingsport, TN 37660 Phone: 423-245-3161 Fax: 423-857-8129

Jason Park, MD - Medicare Orthopedic Surgery in Kingsport, TN