Jeong Yeon Kang Park, in Hollywood, FL - Medicare Family Medicine

Jeong Yeon Kang Park, is a medicare enrolled "Family Medicine" physician in Hollywood, Florida. Her current practice location is 200 S Park Rd Ste 200, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at (866) 986-2263.

Jeong Yeon Kang Park is licensed to practice in Florida (license number ARNP9369012) 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 1447793450.

Contact Information

	Jeong Yeon Kang Park,
	200 S Park Rd Ste 200, Hollywood, FL 33021-8541
	(866) 986-2263
	Not Available

Map and Direction

Physician's Profile

Full Name	Jeong Yeon Kang Park
Gender	Female
Speciality	Family Medicine
Location	200 S Park Rd Ste 200, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447793450
Provider Enumeration Date: 11/22/2016
Last Update Date: 05/25/2022

Medicare PECOS Information:

PECOS PAC ID: 3375972102
Enrollment ID: I20200331000376

Medical Identifiers

Medical identifiers for Jeong Yeon Kang Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447793450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ARNP9369012 (Florida)	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. Jeong Yeon Kang Park allows following entities to bill medicare on her behalf.

Entity Name	Wound Technology Network, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626

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. Jeong Yeon Kang 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
Jeong Yeon Kang Park, 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 Ph: (866) 986-2263	Jeong Yeon Kang Park, 200 S Park Rd Ste 200, Hollywood, FL 33021-8541 Ph: (866) 986-2263

Reviews and Comments

Family Medicine Doctors in Hollywood, FL

Angelica Rocio Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave, Suite 135, Hollywood, FL 33021 Phone: 954-265-6989 Fax: 954-965-3599
Shivani Amara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Johnson St, Hollywood, FL 33021 Phone: 954-276-5552 Fax: 954-265-2570
Dr. Armando Roca Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6301 Pembroke Rd, Hollywood, FL 33023 Phone: 954-961-8394 Fax: 954-241-0445
Marcos Rejtman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1150 N 35th Ave Ste 330, Hollywood, FL 33021 Phone: 954-265-4325 Fax: 954-276-0744
Dr. Alexis Jill Karstaedt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9900 Stirling Rd Ste 222, Hollywood, FL 33024 Phone: 954-704-3344 Fax: 954-431-3933
Dr. Natali Brown Gonzalez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 390 S State Road 7, Hollywood, FL 33023 Phone: 954-743-5522 Fax: 954-743-5632
Sandro Bacchelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 S Federal Hwy, Hollywood, FL 33020 Phone: 954-342-8800 Fax: 954-342-8700

Jeong Yeon Kang Park, - Medicare Family Medicine in Hollywood, FL