Derek Park, DDS - Dentist in Monroe, WA

Derek Park, DDS is a Dentist - General Practice based in Monroe, Washington. Derek Park is licensed to practice in Washington (license number 61691554) and his current practice location is 623 W Main St, Monroe, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 805-9060.

NPI number for Derek Park is 1700778172 and his current mailing address is 12115 19th Ave Se Apt H303, Everett, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700778172.

Contact Information

Derek Park, DDS
623 W Main St,
Monroe, WA 98272-2101
(360) 805-9060
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDerek Park
GenderMale
SpecialityDentist - General Practice
Location623 W Main St, Monroe, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700778172
  • Provider Enumeration Date: 07/18/2025
  • Last Update Date: 07/18/2025

Medical Identifiers

Medical identifiers for Derek Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700778172NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 61691554 (Washington)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. Derek Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derek Park, DDS
12115 19th Ave Se Apt H303,
Everett, WA 98208-6277

Ph: (425) 207-6827
Derek Park, DDS
623 W Main St,
Monroe, WA 98272-2101

Ph: (360) 805-9060

Reviews and Comments


Dentist in Monroe, WA

Dr. Alfonso F Pineyro, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 19071 State Hwy 2, Monroe, WA 98272
Phone: 360-794-8000    Fax: 360-794-6257
Dr. Stanley Chungwai Tang, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14711 Fryelands Blvd Se, Suite 111, Monroe, WA 98272
Phone: 612-240-5067    
Su-fang Tseng, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17707 W Main St, Monroe, WA 98272
Phone: 360-282-3900    Fax: 360-282-3907
Dr. Raymond Michael Maxwell, D.D.S., P.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 770 W Main St, Monroe, WA 98272
Phone: 360-805-0900    Fax: 360-794-6891
Dr. Nicholas Allen Miller, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 267 E Main St, Monroe, WA 98272
Phone: 360-794-0717    
Kyle David Gill, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 19853 State Route 2 # A3, Monroe, WA 98272
Phone: 360-794-9055    Fax: 360-794-7813
Dr. Lucinda Maria Folsom, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 809 West Main Street, Suite A, Monroe, WA 98272
Phone: 360-805-8448    Fax: 360-805-1099

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.