Chan Dong Park, MD - Medicare Internal Medicine in Martinsburg, WV

Chan Dong Park, MD is a medicare enrolled "Internal Medicine" physician in Martinsburg, West Virginia. His current practice location is 1002 Sushruta Dr, Martinsburg, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 263-0913.

Chan Dong Park is licensed to practice in West Virginia (license number 17219) 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 1407815665.

Contact Information

Chan Dong Park, MD
1002 Sushruta Dr,
Martinsburg, WV 25401-8897
(304) 263-0913
(304) 267-2917

Map and Direction




Physician's Profile

Full NameChan Dong Park
GenderMale
SpecialityInternal Medicine
Location1002 Sushruta Dr, Martinsburg, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407815665
  • Provider Enumeration Date: 03/17/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0143363804
  • Enrollment ID: I20100203000106

Medical Identifiers

Medical identifiers for Chan Dong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407815665NPI-NPPES
0075530000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 17219 (West Virginia)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. Chan Dong Park allows following entities to bill medicare on his behalf.
Entity NameUniversity Healthcare Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659625739
PECOS PAC ID: 8325291404
Enrollment ID: O20130124000127

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. Chan Dong 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 AddressPractice Location Address
Chan Dong Park, MD
1002 Sushruta Dr,
Martinsburg, WV 25401-8897

Ph: (304) 263-0913
Chan Dong Park, MD
1002 Sushruta Dr,
Martinsburg, WV 25401-8897

Ph: (304) 263-0913

Reviews and Comments


Internal Medicine Doctors in Martinsburg, WV

Dr. Susila Rajakumar, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 510 Butler Ave, Martinsburg, WV 25401
Phone: 304-263-0811    
Sonia Nasery,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Sushruta Dr Ste A, Martinsburg, WV 25401
Phone: 571-502-1340    
Dr. Philip J A Ryan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 176 Health Care Ln, Suite B, Martinsburg, WV 25401
Phone: 304-260-1060    Fax: 304-260-1062
Samuel Ryan Morris, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Marcley Dr, Martinsburg, WV 25401
Phone: 304-263-8911    Fax: 304-263-9450
Dr. Pradip Chakravarti, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 510 Butler Ave, Martinsburg, WV 25405
Phone: 304-263-0811    Fax: 304-262-1417
Joyce R. Chang, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 510 Butler Ave, Martinsburg Va Medical Center, Martinsburg, WV 25405
Phone: 304-263-0811    
Dr. Robert E Bowen, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Foundation Way, Suite 2400, Martinsburg, WV 25401
Phone: 304-264-9080    Fax: 304-264-9082

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.