Andrew Park, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Covington, Washington. His current practice location is
27500 168th Pl Se, Covington, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 690-3430.
Andrew Park is licensed to practice in Washington (license number PO60788616) 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 1124400858.
Healthcare Provider's Profile
Full Name | Andrew Park |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 27500 168th Pl Se, Covington, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124400858
- Provider Enumeration Date: 06/18/2015
- Last Update Date: 12/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456720424
- Enrollment ID: I20221214000217
Medical Identifiers
Medical identifiers for Andrew Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124400858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | PO60788616 (Washington) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO60788616 (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. Andrew Park allows following entities to bill medicare on his behalf.
Provider Name | Valley Medical Group-renton |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
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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. Andrew 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 |
Andrew Park, DPM 1660 S Columbian Way # 112-pod, Seattle, WA 98108-1532 Ph: (206) 762-1010 | Andrew Park, DPM 27500 168th Pl Se, Covington, WA 98042-5563 Ph: (425) 690-3430 |
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