Dr Daniel Kwangwon Park, MD in Chicago, IL - Medicare Orthopedic Surgery

Dr Daniel Kwangwon Park, MD is a medicare enrolled "Orthopaedic Surgery" physician in Chicago, Illinois. He went to Duke University School Of Medicine and graduated in 2005 and has 21 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Premier Therapy Centers, Inc, Beaumont Medical Group- Specialty Services, Michigan Orthopaedic Surgeons Pllc and his current practice location is 1611 W Harrison St Ste 400, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (877) 632-6637.

Dr Daniel Kwangwon Park is licensed to practice in Michigan (license number 4301097927) 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 1073769162.

Contact Information

	Dr Daniel Kwangwon Park, MD
	1611 W Harrison St Ste 400, Chicago, IL 60612-4861
	(877) 632-6637
	(708) 409-5179

Map and Direction

Physician's Profile

Full Name	Dr Daniel Kwangwon Park
Gender	Male
Speciality	Orthopedic Surgery
Experience	21 Years
Location	1611 W Harrison St Ste 400, Chicago, Illinois
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 Daniel Kwangwon Park attended and graduated from Duke University School Of Medicine in 2005

NPI Data:

NPI Number: 1073769162
Provider Enumeration Date: 08/08/2008
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 1052437167
Enrollment ID: I20111214000046

Medical Identifiers

Medical identifiers for Dr Daniel Kwangwon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073769162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	4301097927 (Michigan)	Primary
207XS0117X	Orthopaedic Surgery - Orthopaedic Surgery Of The Spine	036131466 (Illinois)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Therapy Centers, Inc	5092605717	90
Beaumont Medical Group- Specialty Services	7214299866	804
Michigan Orthopaedic Surgeons Pllc	7810277811	115

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 Daniel Kwangwon Park allows following entities to bill medicare on his behalf.

Entity Name	Michigan Orthopaedic Surgeons Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306394309 PECOS PAC ID: 7810277811 Enrollment ID: O20161208002428

Entity Name	Beaumont Medical Group- Specialty Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549

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 Daniel Kwangwon 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 Daniel Kwangwon Park, MD Po Box 735263, Chicago, IL 60673-5263 Ph: () -	Dr Daniel Kwangwon Park, MD 1611 W Harrison St Ste 400, Chicago, IL 60612-4861 Ph: (877) 632-6637

Reviews and Comments

Orthopaedic Surgery Doctors in Chicago, IL

Dr. Yi-loong Colin Woon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273
Dr. Vehniah Kristin Tjong, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St, 13th Floor, Chicago, IL 60611 Phone: 312-695-6800
Dr. Chizitam Ibezim, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1611 W Harrison St Ste 400, Chicago, IL 60612 Phone: 877-632-6637 Fax: 708-409-5179
David Guelich, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Halsted Street, Suite 525, Chicago, IL 60657 Phone: 773-443-3130
Dr. Daniel A Ivankovich, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1044 N Francisco Ave Ste 203, Chicago, IL 60622 Phone: 312-527-6500 Fax: 800-281-6952
Dr. Michael R Treister, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1431 N Western Ave, Chicago, IL 60622 Phone: 312-633-5866 Fax: 312-633-5867
Dr. Adam Isaac Edelstein, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 13-205, Chicago, IL 60611 Phone: 312-695-8143 Fax: 312-695-4075

Dr Daniel Kwangwon Park, MD - Medicare Orthopedic Surgery in Chicago, IL