Dr Chan W Park, MD - Medicare General Surgery in Honolulu, HI

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Dr Chan W Park, MD is a medicare enrolled "Surgery" physician in Honolulu, Hawaii. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2005 and has 20 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pali Momi Medical Center and his current practice location is 1 Jarrett White Road, Department Of Surgery - 2 Oceanside, Honolulu, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 433-1730.

Dr Chan W Park is licensed to practice in Hawaii (license number MD-16643) 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 1720283153.

Contact Information

Dr Chan W Park, MD
1 Jarrett White Road, Department Of Surgery - 2 Oceanside,
Honolulu, HI 96859
(808) 433-1730
Not Available

Map and Direction




Physician's Profile

Full NameDr Chan W Park
GenderMale
SpecialityGeneral Surgery
Experience20 Years
Location1 Jarrett White Road, Honolulu, Hawaii
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 Chan W Park attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2005
  NPI Data:
  • NPI Number: 1720283153
  • Provider Enumeration Date: 06/16/2007
  • Last Update Date: 10/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779752498
  • Enrollment ID: I20190705000923

Medical Identifiers

Medical identifiers for Dr Chan W Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720283153NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD-16643 (Hawaii)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pali Momi Medical CenterAiea, HIHospital
Kuakini Medical CenterHonolulu, HIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pali Momi Medical Center640674691685

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 W Park allows following entities to bill medicare on his behalf.
Entity NameHawaii Permanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710945969
PECOS PAC ID: 7618880667
Enrollment ID: O20031106000625
Entity NameStraub Clinic & Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306508
PECOS PAC ID: 6305759754
Enrollment ID: O20031111000417
Entity NamePali Momi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275588329
PECOS PAC ID: 6406746916
Enrollment ID: O20040318000395
Entity NameHawaii Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982420907
PECOS PAC ID: 0143749887
Enrollment ID: O20250527000382

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 W 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 Chan W Park, MD
1650 Ala Moana Blvd Apt 913,
Honolulu, HI 96815-1464

Ph: (808) 433-1730		Dr Chan W Park, MD
1 Jarrett White Road, Department Of Surgery - 2 Oceanside,
Honolulu, HI 96859

Ph: (808) 433-1730

Reviews and Comments


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Dr. Peter Halford, MD
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Phone: 808-536-1107    Fax: 808-536-2931

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.