Dr John Moonkeun Park, MD - Medicare Vascular Surgery in Omaha, NE

Dr John Moonkeun Park, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Omaha, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Physicians Clinic Inc, Physicians Clinic Inc and his current practice location is 515 N 162nd Ave, Ste. 300, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (402) 393-6624.

Dr John Moonkeun Park is licensed to practice in Nebraska (license number 26509) 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 1023394665.

Contact Information

Dr John Moonkeun Park, MD
515 N 162nd Ave, Ste. 300,
Omaha, NE 68118-2539
(402) 393-6624
(402) 393-6635

Map and Direction




Physician's Profile

Full NameDr John Moonkeun Park
GenderMale
SpecialityVascular Surgery
Experience19 Years
Location515 N 162nd Ave, Omaha, Nebraska
Accepts Medicare AssignmentsYes. 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 John Moonkeun Park attended and graduated from University Of Nebraska College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1023394665
  • Provider Enumeration Date: 10/27/2011
  • Last Update Date: 02/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5991960833
  • Enrollment ID: I20120627000677

Medical Identifiers

Medical identifiers for Dr John Moonkeun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023394665NPI-NPPES
10026135100MedicaidNE
10026454700MedicaidNE
47068731713MedicaidNE
1023394665MedicaidIA
10025724800MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35.095909 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 35.095909 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 26509 (Nebraska)Primary
2086S0129XSurgery - Vascular Surgery 40563 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Nebraska Methodist HospitalOmaha, NEHospital
Cass County Memorial HospitalAtlantic, IAHospital
Methodist Jennie EdmundsonCouncil bluffs, IAHospital
Methodist Fremont HealthFremont, NEHospital
Chi Health LakesideOmaha, NEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Clinic Inc4880506062497
Physicians Clinic Inc4880506062497

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 John Moonkeun Park allows following entities to bill medicare on his behalf.
Entity NamePhysicians Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821049156
PECOS PAC ID: 4880506062
Enrollment ID: O20031105000345

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 John Moonkeun 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
Dr John Moonkeun Park, MD
Po Box 3755,
Omaha, NE 68103-0755

Ph: (402) 354-2100
Dr John Moonkeun Park, MD
515 N 162nd Ave, Ste. 300,
Omaha, NE 68118-2539

Ph: (402) 393-6624

Reviews and Comments


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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.