Kevin L Park, MD in Bryan, OH - Medicare Family Practice

Kevin L Park, MD is a medicare enrolled "Family Medicine" physician in Bryan, Ohio. He went to Toledo Medical College and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Midwest Community Health Associates, Inc. and his current practice location is 442 W High St Ste 3, Bryan, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 636-4517.

Kevin L Park is licensed to practice in Ohio (license number 35-055915) 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 1063441491.

Contact Information

	Kevin L Park, MD
	442 W High St Ste 3, Bryan, OH 43506-1681
	(419) 636-4517
	(419) 636-6438

Map and Direction

Physician's Profile

Full Name	Kevin L Park
Gender	Male
Speciality	Family Practice
Experience	38 Years
Location	442 W High St Ste 3, Bryan, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin L Park attended and graduated from Toledo Medical College in 1986

NPI Data:

NPI Number: 1063441491
Provider Enumeration Date: 06/30/2006
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 8123159886
Enrollment ID: I20100624000931

Medical Identifiers

Medical identifiers for Kevin L Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063441491	NPI	-	NPPES
080059933	Other	OH	RAILROAD
0878386	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	35-055915 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohioans Home Healthcare, Inc	Perrysburg, OH	Home health agency
Hospice - The Caring Way	Van wert, OH	Hospice
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Community Hospitals And Wellness Centers	Bryan, OH	Hospital
Community Hospitals And Wellness Centers	Montpelier, OH	Hospital
Williams Co Hillside Country L	Bryan, OH	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Community Health Associates, Inc.	0941114250	53

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. Kevin L Park allows following entities to bill medicare on his behalf.

Entity Name	Midwest Community Health Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619915170 PECOS PAC ID: 0941114250 Enrollment ID: O20031231000726

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. Kevin L 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
Kevin L Park, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Kevin L Park, MD 442 W High St Ste 3, Bryan, OH 43506-1681 Ph: (419) 636-4517

Reviews and Comments

Family Medicine Doctors in Bryan, OH

Ms. Fatmah H Albaaj, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 433 W High St, Bryan, OH 43506 Phone: 419-636-1131 Fax: 419-636-3100
Dr. Thomas A. Losey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438
Robert E Sharrock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438
Stanley E Rowan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438
Dr. Ryan Kenneth Bleck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 442 W High St Ste 3, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-633-4169
Diane K Conrad, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 W High St, Bryan, OH 43506 Phone: 419-636-4517 Fax: 419-636-6438

Kevin L Park, MD - Medicare Family Practice in Bryan, OH