Yaejin Park, in Atlanta, GA - Medicare Psychiatry & Neurology

Yaejin Park, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Atlanta, Georgia. Her current practice location is 10 Glenlake Pkwy Ste 130, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (833) 351-8255.

Yaejin Park is licensed to practice in Georgia (license number 102035) 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 1750910527.

Contact Information

	Yaejin Park,
	10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495
	(833) 351-8255
	Not Available

Map and Direction

Physician's Profile

Full Name	Yaejin Park
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	10 Glenlake Pkwy Ste 130, 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: 1750910527
Provider Enumeration Date: 04/03/2020
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 6800227497
Enrollment ID: I20230824000276

Medical Identifiers

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

Identifier	Type	State	Issuer
1750910527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	315124 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	102035 (Georgia)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	0101281531 (Virginia)	Secondary

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. Yaejin Park allows following entities to bill medicare on her behalf.

Entity Name	The Fifth Avenue Counseling Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801037270 PECOS PAC ID: 9739246125 Enrollment ID: O20090527000335

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. Yaejin 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
Yaejin Park, Po Box 24449, New York, NY 10087-0589 Ph: (917) 634-5311	Yaejin Park, 10 Glenlake Pkwy Ste 130, Atlanta, GA 30328-3495 Ph: (833) 351-8255

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

Yaejin Park, - Medicare Psychiatry & Neurology in Atlanta, GA