Pauline Kyonsook Park, MD in Ann Arbor, MI

Pauline Kyonsook Park, MD is a medicare enrolled "Surgery" physician in Ann Arbor, Michigan. She went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1982 and has 42 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Regents Of The University Of Michigan and her current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 936-4000.

Pauline Kyonsook Park is licensed to practice in Michigan (license number 4301089001) 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 1831119528.

Contact Information

	Pauline Kyonsook Park, MD
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Pauline Kyonsook Park
Gender	Female
Speciality	General Surgery
Experience	42 Years
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Pauline Kyonsook Park attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1982

NPI Data:

NPI Number: 1831119528
Provider Enumeration Date: 07/19/2006
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 0648235499
Enrollment ID: I20070531000240

Medical Identifiers

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

Identifier	Type	State	Issuer
1831119528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD030406E (Pennsylvania)	Secondary
2086S0102X	Surgery - Surgical Critical Care	MD030406E (Pennsylvania)	Secondary
2086S0127X	Surgery - Trauma Surgery	MD030406E (Pennsylvania)	Secondary
208600000X	Surgery	4301089001 (Michigan)	Primary
2086S0102X	Surgery - Surgical Critical Care	4301089001 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Michigan Health System	Ann arbor, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of Michigan	3779496856	2916

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. Pauline Kyonsook Park allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325

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. Pauline Kyonsook 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
Pauline Kyonsook Park, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Pauline Kyonsook Park, MD 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

Reviews and Comments

Surgery Doctors in Ann Arbor, MI

John C Magee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Steven W Bruch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 East Medical Center Dr., 4th Floor, C.s. Mott Children's Hospital, Ann Arbor, MI 48109 Phone: 734-764-4151
Eiichi A Miyasaka, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Department Of Surgery, Ann Arbor, MI 48109 Phone: 734-936-4000
Nathan Louras, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Robert J Beaulieu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Meredith Barrett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Dr. Chandu Vemuri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000

Pauline Kyonsook Park, MD - Medicare General Surgery in Ann Arbor, MI