John Yung Park, DO is a medicare enrolled "Hospitalist" physician in Ardmore, Oklahoma. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2012 and has 12 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Thedacare, Incorporated and his current practice location is
1011 14th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 220-6132.
John Yung Park is licensed to practice in Wisconsin (license number 81127) 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 1811255268.
Physician's Profile
| Full Name | John Yung Park |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Experience | 12 Years |
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| Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Yung Park attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2012
NPI Data:
- NPI Number: 1811255268
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416264866
- Enrollment ID: I20230522002811
Medical Identifiers
Medical identifiers for John Yung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811255268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 5790 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 81127 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 5790 (Oklahoma) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thedacare, Incorporated | 1759294887 | 509 |
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 Yung Park allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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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 Yung 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 |
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John Yung Park, DO
3 Neenah Ctr,
Neenah, WI 54956-3070
Ph: (920) 731-4101 | John Yung Park, DO
1011 14th Ave Nw,
Ardmore, OK 73401-1828
Ph: (580) 220-6132 |
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