Dr Earl P Park, DMD MD in Birmingham, AL - Medicare Maxillofacial Surgery Provider

Dr Earl P Park, DMD MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Birmingham, Alabama. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Louisiana State University School Of Medicine In New Orleans Faculty G and his current practice location is 2000 6th Ave S, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-9999.

Dr Earl P Park is licensed to practice in Alabama (license number 35601) 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 1558659698.

Contact Information

	Dr Earl P Park, DMD MD
	2000 6th Ave S, Birmingham, AL 35233-2110
	(205) 934-9999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Earl P Park
Gender	Male
Speciality	Maxillofacial Surgery
Experience	12 Years
Location	2000 6th Ave S, Birmingham, Alabama
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 Earl P Park graduated from medical school in 2014

NPI Data:

NPI Number: 1558659698
Provider Enumeration Date: 07/11/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0941582878
Enrollment ID: I20191008002365

Medical Identifiers

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

Identifier	Type	State	Issuer
1558659698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	RESTRICTED (Louisiana)	Secondary
204E00000X	Oral & Maxillofacial Surgery	35601 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Touro Infirmary	New orleans, LA	Hospital
University Medical Center New Orleans	New orleans, LA	Hospital
West Jefferson Medical Center	Marrero, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Louisiana State University School Of Medicine In New Orleans Faculty G	0244136448	409

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 Earl P Park allows following entities to bill medicare on his behalf.

Entity Name	Louisiana State University School Of Medicine In New Orleans Faculty G
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661

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 Earl P 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 Earl P Park, DMD MD Po Box 55310, Birmingham, AL 35255-5310 Ph: (205) 731-9701	Dr Earl P Park, DMD MD 2000 6th Ave S, Birmingham, AL 35233-2110 Ph: (205) 934-9999

Dr Earl P Park, DMD MD - Medicare in Birmingham, AL