Paul Park, in Kent, WA - Medicare Internal Medicine

Paul Park, is a medicare enrolled "Internal Medicine" physician in Kent, Washington. His current practice location is 219 State Ave N Ste 100, Kent, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 372-3602.

Paul Park is licensed to practice in Washington (license number MD61225125) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316180037.

Contact Information

	Paul Park,
	219 State Ave N Ste 100, Kent, WA 98030-4543
	(253) 372-3602
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul Park
Gender	Male
Speciality	Internal Medicine
Location	219 State Ave N Ste 100, Kent, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316180037
Provider Enumeration Date: 04/10/2009
Last Update Date: 07/18/2022

Medicare PECOS Information:

PECOS PAC ID: 6204060510
Enrollment ID: I20161025001225

Medical Identifiers

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

Identifier	Type	State	Issuer
1316180037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61225125 (Washington)	Secondary
207R00000X	Internal Medicine	254635 (Massachusetts)	Secondary
207R00000X	Internal Medicine	MD61225125 (Washington)	Primary

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. Paul Park allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Paul 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
Paul Park, 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: (425) 277-1311	Paul Park, 219 State Ave N Ste 100, Kent, WA 98030-4543 Ph: (253) 372-3602

Reviews and Comments

Internal Medicine Doctors in Kent, WA

Jennifer Lynn Azen, M.D., M.P.H. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S., Kent, WA 98032 Phone: 206-543-0065
Hien Pham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-395-1944
Dr. Rijuna Menon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-1944 Fax: 253-520-3242
Kingman K Ho, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24604 104th Ave Se, Suite 101, Kent, WA 98030 Phone: 253-395-2001 Fax: 253-852-8012
Sandra Marian Lord, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23213 Pacific Hwy S, Kent, WA 98032 Phone: 206-870-8880
Dr. Andrew Trueman Brockenbrough, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3544 Fax: 425-690-9444
Brian Wayne Goodell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24705 142nd Ave Se, Kent, WA 98042 Phone: 253-631-6154

Paul Park, - Medicare Internal Medicine in Kent, WA