Ken Jongho Park, MD in Salem, OR - Medicare Nephrology

Ken Jongho Park, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Salem, Oregon. He went to Rush Medical College Of Rush University and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 2400 Lancaster Dr Ne, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 361-5400.

Ken Jongho Park is licensed to practice in Oregon (license number MD150901) 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 1649436585.

Contact Information

	Ken Jongho Park, MD
	2400 Lancaster Dr Ne, Salem, OR 97305-1221
	(503) 361-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Ken Jongho Park
Gender	Male
Speciality	Nephrology
Experience	20 Years
Location	2400 Lancaster Dr Ne, Salem, Oregon
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:

Ken Jongho Park attended and graduated from Rush Medical College Of Rush University in 2004

NPI Data:

NPI Number: 1649436585
Provider Enumeration Date: 07/30/2008
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5193858264
Enrollment ID: I20100727000725

Medical Identifiers

Medical identifiers for Ken Jongho Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649436585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD60140050 (Washington)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD150901 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Qualicenters - Salem Ltd	Salem, OR	Dialysis facility
Kaiser Foundation Hospital - Westside	Hillsboro, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Northwest	5799688230	1484

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. Ken Jongho Park allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Ken Jongho 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
Ken Jongho Park, MD 2400 Lancaster Dr Ne, Salem, OR 97305-1221 Ph: (503) 361-5400	Ken Jongho Park, MD 2400 Lancaster Dr Ne, Salem, OR 97305-1221 Ph: (503) 361-5400

Reviews and Comments

Internal Medicine Doctors in Salem, OR

Dr. Andrew P. Hope, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 4000, Salem, OR 97301 Phone: 503-364-0189 Fax: 503-364-9288
Brett W Mikeska, M D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560
Dr. Aneet Jyot Deo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565 Fax: 503-561-8560
Dr. Sitalakshmi Jayamani Iyer, M.D., Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se Ste 5070, Salem, OR 97301 Phone: 503-561-8565
Joseph J Thaler, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 5050 Skyline Village Loop S, Salem, OR 97306 Phone: 503-391-1110 Fax: 503-370-4237
Dr. Krystyna Antonina Pekalska, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2400 Lancaster Dr Ne, Salem, OR 97305 Phone: 503-361-5400
Dr. Falguny I Bhavan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Ste 3010, Salem, OR 97301 Phone: 503-399-7520 Fax: 503-362-7344

Ken Jongho Park, MD - Medicare Nephrology in Salem, OR