Ted Park, MD in Vancouver, WA - Medicare Family Medicine

Ted Park, MD is a medicare enrolled "Family Medicine" physician in Vancouver, Washington. His current practice location is 501 Se 172nd Ave, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 882-2778.

Ted Park is licensed to practice in Washington (license number MD61411462) 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 1871113050.

Contact Information

	Ted Park, MD
	501 Se 172nd Ave, Vancouver, WA 98684-9542
	(360) 882-2778
	Not Available

Map and Direction

Physician's Profile

Full Name	Ted Park
Gender	Male
Speciality	Family Medicine
Location	501 Se 172nd Ave, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871113050
Provider Enumeration Date: 04/17/2020
Last Update Date: 07/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0941671184
Enrollment ID: I20230125002562

Medical Identifiers

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

Identifier	Type	State	Issuer
1871113050	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61411462 (Washington)	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. Ted Park allows following entities to bill medicare on his behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

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. Ted 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
Ted Park, MD Po Box 4825, Portland, OR 97208-4825 Ph: (360) 882-2778	Ted Park, MD 501 Se 172nd Ave, Vancouver, WA 98684-9542 Ph: (360) 882-2778

Reviews and Comments

Family Medicine Doctors in Vancouver, WA

Andrea Vallejo Carnie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7410 Delaware Ln Uppr Level, Vancouver, WA 98664 Phone: 360-566-4402
David Malekooti, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2101 Ne 139th St Ste 450, Vancouver, WA 98686 Phone: 360-487-4848
Mrs. Sherilyn Marie Foltz Cook, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16500 Se 15th St, Ste 100, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241
Dr. Matthew Howard Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 N Devine Rd, Vancouver, WA 98661 Phone: 360-952-4457 Fax: 360-828-7409
Dr. Michele Lynn Sequeira, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-891-6208 Fax: 360-418-6006
Dr. Kevin Deweber, MD, FAMSSM, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E. 33rd Street, Family Medicine Of Sw Washington, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7494
Dr. David Paik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 33rd St, Suite 100, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7553

Ted Park, MD - Medicare Family Medicine in Vancouver, WA