Sora Park, MD in Atlanta, GA - Medicare Psychiatry & Neurology

Sora Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Atlanta, Georgia. Her current practice location is 519 Memorial Dr Se Unit B10, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 223-8983.

Sora Park is licensed to practice in Georgia (license number 95846) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376005090.

Contact Information

	Sora Park, MD
	519 Memorial Dr Se Unit B10, Atlanta, GA 30312-2289
	(470) 223-8983
	Not Available

Map and Direction

Physician's Profile

Full Name	Sora Park
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	519 Memorial Dr Se Unit B10, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376005090
Provider Enumeration Date: 04/02/2019
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0648506360
Enrollment ID: I20240430001141

Medical Identifiers

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

Identifier	Type	State	Issuer
1376005090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	95846 (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. Sora Park allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099

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. Sora 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
Sora Park, MD 113 S. Perry St., Ste 206 #8276, Lawrenceville, GA 30046 Ph: (470) 223-8983	Sora Park, MD 519 Memorial Dr Se Unit B10, Atlanta, GA 30312-2289 Ph: (470) 223-8983

Reviews and Comments

Psychiatry & Neurology Doctors in Atlanta, GA

Dr. Marc A. Safran, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 Clifton Rd Ne, To: Capt Marc Safran, Us Public Health Service, Cdc, Atlanta, GA 30329 Phone: 404-639-3311
Dr. Allison Nitsche, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7000 Peachtree Dunwoody Rd Ste 100, Atlanta, GA 30328 Phone: 770-393-1880
Erica Rene Wilt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 470-788-1010
Dr. Shamina Jaffer Henkel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Childrens Healthcare Of Atlanta, 1405 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6244 Fax: 404-785-6268
Deborah Ida Botti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Peachtree Rd, Suite 915, Atlanta, GA 30326 Phone: 404-812-0011
Dr. Jeffrey Lee Winston, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4546 Barclay Dr Ste B, Atlanta, GA 30338 Phone: 770-457-7994 Fax: 770-458-8656
Dr. Alan Marc Weinberg, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 Glenlake Pkwy, Dept Of Behavioral Health, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 770-389-3030

Sora Park, MD - Medicare Psychiatry & Neurology in Atlanta, GA