Timothy Park, MD in Charlotte, NC

Timothy Park, MD is a medicare enrolled "Surgery" physician in Charlotte, North Carolina. His current practice location is 1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 355-2000.

Timothy Park is licensed to practice in North Carolina (license number 2021-00319) 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 1932494655.

Contact Information

	Timothy Park, MD
	1000 Blythe Blvd, Charlotte, NC 28203-5812
	(704) 355-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy Park
Gender	Male
Speciality	Surgery
Location	1000 Blythe Blvd, Charlotte, 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: 1932494655
Provider Enumeration Date: 06/09/2011
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3173857430
Enrollment ID: I20210903001983

Medical Identifiers

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

Identifier	Type	State	Issuer
1932494655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A161075 (California)	Secondary
208600000X	Surgery	2021-00319 (North Carolina)	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. Timothy Park allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

Entity Name	Carolinas Physicians Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Timothy 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
Timothy Park, MD 2051 Marengo St, Ipt, C5l100, Los Angeles, CA 90033 Ph: () -	Timothy Park, MD 1000 Blythe Blvd, Charlotte, NC 28203-5812 Ph: (704) 355-2000

Reviews and Comments

Surgery Doctors in Charlotte, NC

Dr. John Gordon Morrison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Randolph Rd, Suite 201, Charlotte, NC 28207 Phone: 704-333-1259 Fax: 704-333-0371
Michael Passeri, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1025 Morehead Medical Dr, Suite 600, Charlotte, NC 28204 Phone: 704-355-8816
Jeko Metodiev Madjarov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-373-0212
Benjamin Yglesias, Surgery Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000
Jason Shade Burgess, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Vail Avenue, Ste 320, Charlotte, NC 28207 Phone: 704-333-0741 Fax: 704-333-3356
Toan Thiet Huynh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1350 S Kings Dr, Charlotte, NC 28207 Phone: 704-446-1255
Sara L Turner, NP Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-512-7562 Fax: 704-512-7576

Timothy Park, MD - Medicare Surgery in Charlotte, NC