Peter Ju Park, MD - Medicare Interventional Radiology in Atlanta, GA

Peter Ju Park, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Atlanta, Georgia. He went to Johns Hopkins University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice The Emory Clinic, Inc and his current practice location is 100 Woodruff Cir Ne, Suite 327, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 712-4686.

Peter Ju Park is licensed to practice in Georgia (license number 007281) 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 1699015792.

Contact Information

Peter Ju Park, MD
100 Woodruff Cir Ne, Suite 327,
Atlanta, GA 30322-0001
(404) 712-4686
Not Available

Map and Direction




Physician's Profile

Full NamePeter Ju Park
GenderMale
SpecialityInterventional Radiology
Experience10 Years
Location100 Woodruff Cir Ne, Atlanta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter Ju Park attended and graduated from Johns Hopkins University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1699015792
  • Provider Enumeration Date: 02/26/2013
  • Last Update Date: 11/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648572859
  • Enrollment ID: I20200720001916

Medical Identifiers

Medical identifiers for Peter Ju Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699015792NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 007281 (Georgia)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 007281 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University HospitalAtlanta, GAHospital
Emory University Hospital MidtownAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Emory Clinic, Inc88209014082729

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. Peter Ju Park allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968

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. Peter Ju 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 AddressPractice Location Address
Peter Ju Park, MD
1364 Clifton Nerd D125a,
Atlanta, GA 30322-1059

Ph: (404) 712-4686
Peter Ju Park, MD
100 Woodruff Cir Ne, Suite 327,
Atlanta, GA 30322-0001

Ph: (404) 712-4686

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.