Dr Kenneth Park, PHD in Lexington, MA - Medicare Clinical Psychologist Provider

Dr Kenneth Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lexington, Massachusetts. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The General Hospital Corporation and his current practice location is 486 Lowell St, Lexington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 398-7297.

Dr Kenneth Park is licensed to practice in Massachusetts (license number 8300) 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 1457392912.

Contact Information

	Dr Kenneth Park, PHD
	486 Lowell St, Lexington, MA 02420-2241
	(617) 398-7297
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Park
Gender	Male
Speciality	Clinical Psychologist
Experience	22 Years
Location	486 Lowell St, Lexington, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kenneth Park graduated from medical school in 2002

NPI Data:

NPI Number: 1457392912
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2860412970
Enrollment ID: I20051205000572

Medical Identifiers

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

Identifier	Type	State	Issuer
1457392912	NPI	-	NPPES
W06428	Other	MA	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	8300 (Massachusetts)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The General Hospital Corporation	6507803806	1058

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. Dr Kenneth Park allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Dr Kenneth 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
Dr Kenneth Park, PHD 486 Lowell St, Lexington, MA 02420-2241 Ph: (617) 797-8764	Dr Kenneth Park, PHD 486 Lowell St, Lexington, MA 02420-2241 Ph: (617) 398-7297

Reviews and Comments

Psychologist in Lexington, MA

Dr. David W Randall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 41 Woodcliffe Rd, Lexington, MA 02421 Phone: 781-538-5020
Walter Abrams, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14 Locust Ave, Lexington, MA 02421 Phone: 781-861-6316
Prof. Marianne Daisy Farkas, SCD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Kendall Rd, Lexington, MA 02421 Phone: 781-861-6840
Janet H Seide, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Bedford St, Lexington, Lexington, MA 02420 Phone: 781-862-6816
Ms. Arnis Lee Berger, M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19 Muzzey St, Suite 306, Lexington, MA 02421 Phone: 781-861-8130
Dr. Leonard David Greenberg, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 76 Bedford Street, Suite 21, Lexington, MA 02420 Phone: 781-861-6662 Fax: 781-648-4717
Dr. Catherine Tellides Jaffee, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 33 Bedford St, Suite 11, Lexington, MA 02420 Phone: 978-514-0960 Fax: 978-582-1434

Dr Kenneth Park, PHD - Medicare Psychologist in Lexington, MA