Youngok Jade Park, MD in Columbia, MO - Medicare Anesthesiology

Youngok Jade Park, MD is a medicare enrolled "Anesthesiology" physician in Columbia, Missouri. Her current practice location is 404 N Keene St, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-2568.

Youngok Jade Park is licensed to practice in Nevada (license number 25380) 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 1629229976.

Contact Information

	Youngok Jade Park, MD
	404 N Keene St, Columbia, MO 65201-6626
	(573) 882-2568
	(573) 882-2226

Map and Direction

Physician's Profile

Full Name	Youngok Jade Park
Gender	Female
Speciality	Anesthesiology
Location	404 N Keene St, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629229976
Provider Enumeration Date: 10/06/2008
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 8921233222
Enrollment ID: I20200220001210

Medical Identifiers

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

Identifier	Type	State	Issuer
1629229976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD448620 (Pennsylvania)	Secondary
207L00000X	Anesthesiology	2019033100 (Missouri)	Secondary
207L00000X	Anesthesiology	25380 (Nevada)	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. Youngok Jade Park allows following entities to bill medicare on her behalf.

Entity Name	The Curators Of The University Of Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290

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. Youngok Jade 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
Youngok Jade Park, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Youngok Jade Park, MD 404 N Keene St, Columbia, MO 65201-6626 Ph: (573) 882-2568

Reviews and Comments

Anesthesiology Doctors in Columbia, MO

Sarah Marie Von Thaer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985
Ryan Daniel Montgomery, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985
Thomas Wesley Meyer, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-6262 Fax: 573-815-2308
Dr. Oleksiy Mykhaylovych Zyernov, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Dc056.20, Columbia, MO 65212 Phone: 573-882-2568 Fax: 885-903-0985
Frederick T O'donnell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65201 Phone: 573-882-2568 Fax: 573-882-2226
Stephanie Elizabeth Cain, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-3466
Eric Kenneth Jagim, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226

Youngok Jade Park, MD - Medicare Anesthesiology in Columbia, MO