Jerry W Park, DO in Spokane, WA - Medicare Family Medicine

Jerry W Park, DO is a medicare enrolled "Family Medicine" physician in Spokane, Washington. His current practice location is 9222 N Newport Hwy, Ste 1, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 467-4545.

Jerry W Park is licensed to practice in Washington (license number OP00001729) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245337153.

Contact Information

	Jerry W Park, DO
	9222 N Newport Hwy, Ste 1, Spokane, WA 99218-1235
	(509) 467-4545
	(509) 467-2304

Map and Direction

Physician's Profile

Full Name	Jerry W Park
Gender	Male
Speciality	Family Medicine
Location	9222 N Newport Hwy, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245337153
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6608818901
Enrollment ID: I20050526000517

Medical Identifiers

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

Identifier	Type	State	Issuer
1245337153	NPI	-	NPPES
0151371	Other	WA	LABOR AND INDUSTRIES NUMB
OP00001729	Other	WA	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OP00001729 (Washington)	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. Jerry W Park allows following entities to bill medicare on his behalf.

Entity Name	American Current Care Of Washington, P.s.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073096871 PECOS PAC ID: 8022356617 Enrollment ID: O20190206000846

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. Jerry W 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
Jerry W Park, DO 7511 N Panorama Dr, Spokane, WA 99208-8431 Ph: (509) 466-3089	Jerry W Park, DO 9222 N Newport Hwy, Ste 1, Spokane, WA 99218-1235 Ph: (509) 467-4545

Reviews and Comments

Family Medicine Doctors in Spokane, WA

Edward P. Brow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 322 W North River Dr, Spokane, WA 99201 Phone: 509-324-6464
Dr. Arild Lein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 W Mission Ave, Spokane, WA 99201 Phone: 509-326-4343
Mark Ashley Hart, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 E Holland Ave, Spokane, WA 99218 Phone: 509-466-3960 Fax: 509-466-9566
Kelly C. Grieves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9911 N Nevada St, Spokane, WA 99218 Phone: 509-626-9420 Fax: 509-227-7070
Mr. Philip Roger Henry, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 42 E Rowan Ave, Suite A, Spokane, WA 99207 Phone: 509-483-3155 Fax: 509-483-3270
Dr. Ryan Massoud, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 E Central Ave Ste 440, Spokane, WA 99208 Phone: 509-252-9602 Fax: 509-227-7070
Kattrina Michelle Rall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 Fax: 509-626-9920

Jerry W Park, DO - Medicare Family Medicine in Spokane, WA