John I Park, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Scottdale, Pennsylvania. His current practice location is
109 Crossroads Rd, Suite 6, Scottdale, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 887-7421.
John I Park is licensed to practice in Pennsylvania (license number MD034829E) 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 1518006725.
Physician's Profile
| Full Name | John I Park |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 109 Crossroads Rd, Scottdale, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518006725
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3577539451
- Enrollment ID: I20040902000976
Medical Identifiers
Medical identifiers for John I Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518006725 | NPI | - | NPPES |
| 197526 | Other | | HIGHMARK |
| 0011173760007 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD034829E (Pennsylvania) | 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. John I Park allows following entities to bill medicare on his behalf.
| Entity Name | Allegheny Physical Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699798918
PECOS PAC ID: 3678569183
Enrollment ID: O20040421001009 |
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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. John I 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 |
|---|
John I Park, MD
109 Crossroads Road, Suite 6,
Scottdale, PA 15683
Ph: (724) 887-7421 | John I Park, MD
109 Crossroads Rd, Suite 6,
Scottdale, PA 15683-2458
Ph: (724) 887-7421 |
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