Dr Julie U Park, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Simpsonville, South Carolina. She went to Temple University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Interventional Radiology. She is a member of the group practice Carolina Vein Care And Aesthetics Llc and her current practice location is
2817 Woodruff Rd, Simpsonville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 610-1947.
Dr Julie U Park is licensed to practice in South Carolina (license number 30218) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336151729.
Physician's Profile
| Full Name | Dr Julie U Park |
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| Gender | Female |
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| Speciality | Interventional Radiology |
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| Experience | 31 Years |
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| Location | 2817 Woodruff Rd, Simpsonville, South Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Julie U Park attended and graduated from Temple University School Of Medicine in 1993
NPI Data:
- NPI Number: 1336151729
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507761061
- Enrollment ID: I20080911000612
Medical Identifiers
Medical identifiers for Dr Julie U Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336151729 | NPI | - | NPPES |
| 11736763 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0204X | Radiology - Vascular & Interventional Radiology | 30218 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carolina Vein Care And Aesthetics Llc | 6406100080 | 2 |
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. Dr Julie U Park allows following entities to bill medicare on her behalf.
| Entity Name | Greenville Vein Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699839019
PECOS PAC ID: 9335169614
Enrollment ID: O20051201000307 |
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| Entity Name | Carolina Vein Care And Aesthetics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134615396
PECOS PAC ID: 6406100080
Enrollment ID: O20181119000086 |
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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. Dr Julie U 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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Dr Julie U Park, MD
5 Welsh Cobb Ct,
Greenville, SC 29615-6074
Ph: (864) 752-5687 | Dr Julie U Park, MD
2817 Woodruff Rd,
Simpsonville, SC 29681-4807
Ph: (864) 610-1947 |
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