Sun J Park, MD is a medicare enrolled "Hospitalist" physician in Oregon City, Oregon. She went to Rush Medical College Of Rush University and graduated in 1995 and has 29 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Legacy Clinics Llc, Kaiser Foundation Health Plan Of The Northwest and her current practice location is
1500 Division St, Oregon City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 650-6270.
Sun J Park is licensed to practice in Oregon (license number MD24792) 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 1811914484.
Physician's Profile
Full Name | Sun J Park |
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Gender | Female |
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Speciality | Hospitalist |
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Experience | 29 Years |
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Location | 1500 Division St, Oregon City, Oregon |
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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:
- Sun J Park attended and graduated from Rush Medical College Of Rush University in 1995
NPI Data:
- NPI Number: 1811914484
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 05/10/2017
Medicare PECOS Information:
- PECOS PAC ID: 5193789626
- Enrollment ID: I20041115001156
Medical Identifiers
Medical identifiers for Sun J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811914484 | NPI | - | NPPES |
P00234134 | Other | OR | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD24792 (Oregon) | Secondary |
208M00000X | Hospitalist | MD24792 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Legacy Clinics Llc | 0244144004 | 633 |
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
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. Sun J Park allows following entities to bill medicare on her behalf.
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
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Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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Entity Name | Apogee Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558302174 PECOS PAC ID: 8820980188 Enrollment ID: O20040330000185 |
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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. Sun J 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 |
Sun J Park, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Sun J Park, MD 1500 Division St, Oregon City, OR 97045-1527 Ph: (503) 650-6270 |
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