Kwang-soo Park, MD in Colorado Springs, CO

Kwang-soo Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Colorado Springs, Colorado. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Family Care Center Llc and his current practice location is 6915 Tutt Blvd Ste 110b, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 445-1292.

Kwang-soo Park is licensed to practice in Colorado (license number 0060675) 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 1689635880.

Contact Information

	Kwang-soo Park, MD
	6915 Tutt Blvd Ste 110b, Colorado Springs, CO 80923
	(719) 445-1292
	(719) 591-6486

Map and Direction

Physician's Profile

Full Name	Kwang-soo Park
Gender	Male
Speciality	Psychiatry
Experience	35 Years
Location	6915 Tutt Blvd Ste 110b, Colorado Springs, Colorado
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:

Kwang-soo Park graduated from medical school in 1989

NPI Data:

NPI Number: 1689635880
Provider Enumeration Date: 03/29/2006
Last Update Date: 07/30/2018

Medicare PECOS Information:

PECOS PAC ID: 9335162155
Enrollment ID: I20180821003746

Medical Identifiers

Medical identifiers for Kwang-soo Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689635880	NPI	-	NPPES
2334978	Medicaid	OH
1840930000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0060675 (Colorado)	Primary
2084P0805X	Psychiatry & Neurology - Geriatric Psychiatry	DR0060675 (Colorado)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Care Center Llc	5991064420	185

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. Kwang-soo Park allows following entities to bill medicare on his behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

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. Kwang-soo 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
Kwang-soo Park, MD 1065 Ne 125th St Ste 409, North Miami, FL 33161-5834 Ph: (888) 852-6672	Kwang-soo Park, MD 6915 Tutt Blvd Ste 110b, Colorado Springs, CO 80923 Ph: (719) 445-1292

Reviews and Comments

Psychiatry & Neurology Doctors in Colorado Springs, CO

Justin Cheongsiatmoy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Weber St Ste 200, Colorado Springs, CO 80903 Phone: 424-652-8506
William B. Scholten, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 875 W. Moreno Ave., Colorado Springs, CO 80905 Phone: 719-572-6424
Kevin K. Snyder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907 Phone: 719-373-9703 Fax: 719-631-7017
Dr. Laura Jane Elder, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4215 Stonehaven Dr, Colorado Springs, CO 80906 Phone: 972-816-7870
Dr. Michelle Louise Raphael, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4110 Briargate Pkwy Ste 140, Colorado Springs, CO 80920 Phone: 719-365-7300 Fax: 719-365-7301
William Tyler Stone, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1715 N Weber St, Suite 120, Colorado Springs, CO 80907 Phone: 719-722-4929 Fax: 719-358-9860
Dr. Abdurahman Said Elkhetali, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 700, Colorado Springs, CO 80909 Phone: 719-365-7300 Fax: 719-365-7301

Kwang-soo Park, MD - Medicare Psychiatry in Colorado Springs, CO