Dr Chan S Park, MD in Williamsburg, VA - Medicare Emergency Medicine

Dr Chan S Park, MD is a medicare enrolled "Emergency Medicine" physician in Williamsburg, Virginia. His current practice location is Michumi, Pllc Dba Med Express Of Williamsburg, Va, 120 Monticello Ave, Williamsburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 564-3627.

Dr Chan S Park is licensed to practice in Virginia (license number 0101043881) 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 1619940681.

Contact Information

	Dr Chan S Park, MD
	Michumi, Pllc Dba Med Express Of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185
	(757) 564-3627
	(757) 564-6449

Map and Direction

Physician's Profile

Full Name	Dr Chan S Park
Gender	Male
Speciality	Emergency Medicine
Location	Michumi, Pllc Dba Med Express Of Williamsburg, Va, Williamsburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619940681
Provider Enumeration Date: 02/09/2006
Last Update Date: 08/07/2008

Medicare PECOS Information:

PECOS PAC ID: 4789665340
Enrollment ID: I20040528000400

Medical Identifiers

Medical identifiers for Dr Chan S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619940681	NPI	-	NPPES
010094321	Medicaid	VA
P00153223	Other	VA	RRMED

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	0101043881 (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. Dr Chan S Park allows following entities to bill medicare on his behalf.

Entity Name	Michumi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255388021 PECOS PAC ID: 5193784395 Enrollment ID: O20041004001110

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 Chan S 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 Chan S Park, MD Po Box 5508, Virginia Beach, VA 23471-0508 Ph: (757) 340-3489	Dr Chan S Park, MD Michumi, Pllc Dba Med Express Of Williamsburg, Va, 120 Monticello Ave, Williamsburg, VA 23185 Ph: (757) 564-3627

Reviews and Comments

Emergency Medicine Doctors in Williamsburg, VA

Susan Marie Lessner-boesler, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Oak Holw, Williamsburg, VA 23188 Phone: 757-206-6595
Dr. Stephen Grimes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Monticello Ave, Williamsburg, VA 23185 Phone: 757-259-6000
Chelsea Veronica Laber, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 201a, Williamsburg, VA 23188 Phone: 757-984-3975
Thomas Camp, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Sentara Cir, Williamsburg, VA 23188 Phone: 757-984-6000
Dr. Emma K. Burch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2200
David I Cohen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2250 Fax: 757-903-2285
Samuel Anthony John Tabacchi, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Commonwealth Ave, Williamsburg, VA 23185 Phone: 757-585-2000

Dr Chan S Park, MD - Medicare Emergency Medicine in Williamsburg, VA