Christopher Lane Park, DO - Medicare Family Practice in Pontotoc, MS

  1. Home
  2. Family Medicine
  3. MS
  4. Pontotoc
Christopher Lane Park, DO is a medicare enrolled "Family Medicine" physician in Pontotoc, Mississippi. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Chris Park Do Pc and his current practice location is 11 E Jefferson St, Pontotoc, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 499-2802.

Christopher Lane Park is licensed to practice in Mississippi (license number 19482) 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 1710181078.

Contact Information

Christopher Lane Park, DO
11 E Jefferson St,
Pontotoc, MS 38863-2807
(662) 499-2802
(866) 939-1560

Map and Direction




Physician's Profile

Full NameChristopher Lane Park
GenderMale
SpecialityFamily Practice
Experience19 Years
Location11 E Jefferson St, Pontotoc, Mississippi
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:
  • Christopher Lane Park graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1710181078
  • Provider Enumeration Date: 06/12/2007
  • Last Update Date: 03/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1557448610
  • Enrollment ID: I20080414000516

Medical Identifiers

Medical identifiers for Christopher Lane Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710181078NPI-NPPES
06575065MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 19482 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeTupelo, MSHome health agency
Baptist Memorial Hospital Union CountyNew albany, MSHospital
Pontotoc Health Service Inc CahPontotoc, MSHospital
North Mississippi Medical CenterTupelo, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Chris Park Do Pc62042580643

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. Christopher Lane Park allows following entities to bill medicare on his behalf.
Entity NameRedmed, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437589157
PECOS PAC ID: 2961633656
Enrollment ID: O20140321001095
Entity NameChris Park Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831710623
PECOS PAC ID: 6204258064
Enrollment ID: O20200624001003

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. Christopher Lane 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
Christopher Lane Park, DO
542 Cedar Hill Dr,
Pontotoc, MS 38863-7262

Ph: (662) 397-4597		Christopher Lane Park, DO
11 E Jefferson St,
Pontotoc, MS 38863-2807

Ph: (662) 499-2802

Reviews and Comments


Family Medicine Doctors in Pontotoc, MS

Steven Nicholas Dirmeyer, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 345 Highway 15 N, Pontotoc, MS 38863
Phone: 662-489-7430    Fax: 662-489-7938
Timothy Frank Thompson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 353 Highway 15 N, Pontotoc, MS 38863
Phone: 662-490-1985    Fax: 662-490-1989
Dr. Jennifer Dawn Lowery, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 345 Highway 15 N, Pontotoc, MS 38863
Phone: 662-489-7430    
Mrs. Flavia H West, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 183 S Main St, Pontotoc, MS 38863
Phone: 662-489-5038    Fax: 662-489-7004
Stephen Montgomery, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 345 Highway 15 N, Pontotoc, MS 38863
Phone: 662-489-7430    Fax: 662-489-7938
Randel Gibson, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 353 Highway 15 N, Pontotoc, MS 38863
Phone: 662-490-1985    Fax: 662-490-1989

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.