Mr Kevin Alan Park, OTR/L, CHT is a medicare enrolled "Occupational Therapist" provider in New Albany, Mississippi. His current practice location is
206b Oxford Rd, New Albany, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 534-4445.
Mr Kevin Alan Park is licensed to practice in Mississippi (license number OT0359) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215004965.
Healthcare Provider's Profile
| Full Name | Mr Kevin Alan Park |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 206b Oxford Rd, New Albany, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Kevin Alan Park attended and graduated from in
NPI Data:
- NPI Number: 1215004965
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/26/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Kevin Alan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215004965 | NPI | - | NPPES |
| 582681044 | Other | MS | TAX ID |
| 06957897 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT0359 (Mississippi) | Primary |
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. Mr Kevin Alan 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 |
|---|
Mr Kevin Alan Park, OTR/L, CHT
206b Oxford Rd,
New Albany, MS 38652-3115
Ph: (662) 534-4445 | Mr Kevin Alan Park, OTR/L, CHT
206b Oxford Rd,
New Albany, MS 38652-3115
Ph: (662) 534-4445 |
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