Mr Douglas J Park, PHD in Dearborn, MI - Medicare Clinical Psychologist Provider

Mr Douglas J Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dearborn, Michigan. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 2314 Monroe St, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 565-5937.

Mr Douglas J Park is licensed to practice in Michigan (license number 6301011777) 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 1912967019.

Contact Information

	Mr Douglas J Park, PHD
	2314 Monroe St, Dearborn, MI 48124-3010
	(313) 565-5937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas J Park
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	2314 Monroe St, Dearborn, Michigan
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:

Mr Douglas J Park graduated from medical school in 2001

NPI Data:

NPI Number: 1912967019
Provider Enumeration Date: 03/24/2006
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID: 9931183431
Enrollment ID: I20040614001000

Medical Identifiers

Medical identifiers for Mr Douglas J Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912967019	NPI	-	NPPES
680H216560	Other	MI	BLUE CARE NETWORK
680H216560	Other	MI	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301011777 (Michigan)	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 Douglas J 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 Douglas J Park, PHD 2314 Monroe St, Dearborn, MI 48124-3010 Ph: (313) 565-5937	Mr Douglas J Park, PHD 2314 Monroe St, Dearborn, MI 48124-3010 Ph: (313) 565-5937

Reviews and Comments

Psychologist in Dearborn, MI

Sara Pierce, M.S., TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653
Dr. Maritaconstance Supan, PH.D., LLP, DAPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 934 Mason St, Dearborn, MI 48124 Phone: 313-278-8053 Fax: 313-278-8053

Mr Douglas J Park, PHD - Medicare Psychologist in Dearborn, MI