Robert S Park, MD in Raleigh, NC - Medicare Emergency Medicine

Robert S Park, MD is a medicare enrolled "Emergency Medicine" physician in Raleigh, North Carolina. His current practice location is 3000 New Bern Ave, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 237-3378.

Robert S Park is licensed to practice in Georgia (license number 79208) 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 1124121348.

Contact Information

	Robert S Park, MD
	3000 New Bern Ave, Raleigh, NC 27610-1231
	(843) 237-3378
	(843) 237-5073

Map and Direction

Physician's Profile

Full Name	Robert S Park
Gender	Male
Speciality	Emergency Medicine
Location	3000 New Bern Ave, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124121348
Provider Enumeration Date: 09/06/2006
Last Update Date: 05/05/2020

Medicare PECOS Information:

PECOS PAC ID: 1557390267
Enrollment ID: I20050811000905

Medical Identifiers

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

Identifier	Type	State	Issuer
1124121348	NPI	-	NPPES
Q0086I	Medicaid	SC
1340U	Other	NC	BCBS PROVIDER NUMBER
L2339	Other	FL	FL MEDICARE
891340U	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	ME142605 (Florida)	Secondary
207P00000X	Emergency Medicine	200300863 (North Carolina)	Secondary
207P00000X	Emergency Medicine	79208 (Georgia)	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. Robert S Park allows following entities to bill medicare on his behalf.

Entity Name	Wake Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922063387 PECOS PAC ID: 9931002078 Enrollment ID: O20040128000295

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. Robert S 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
Robert S Park, MD Po Box 60968, Charlotte, NC 28260-0968 Ph: (843) 237-3378	Robert S Park, MD 3000 New Bern Ave, Raleigh, NC 27610-1231 Ph: (843) 237-3378

Reviews and Comments

Emergency Medicine Doctors in Raleigh, NC

Hershell Cassell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Wake Forest Rd, Raleigh, NC 27609 Phone: 919-620-4467
Christopher Occhino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4513 Pitt St, Raleigh, NC 27609 Phone: 716-725-9852 Fax: 716-204-4501
Tina M Tamaddon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073
Rodney L Mccaskill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073
Colleen C Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100
Damian Francis Mchugh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100
James M Merritt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 843-237-3378 Fax: 843-237-5073

Robert S Park, MD - Medicare Emergency Medicine in Raleigh, NC