Dr John Moonkeun Park, MD in Omaha, NE - Medicare Vascular Surgery

Dr John Moonkeun Park, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Omaha, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Sage Medical Prof Llc, Vascular And Interventional Radiology Of Siouxland, Vascular And Interventional Radiology Of Siouxland and his current practice location is 17404 Burke St Ste 102, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at (531) 466-4260.

Dr John Moonkeun Park is licensed to practice in Nebraska (license number 26509) 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 1023394665.

Contact Information

	Dr John Moonkeun Park, MD
	17404 Burke St Ste 102, Omaha, NE 68118-2242
	(531) 466-4260
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Moonkeun Park
Gender	Male
Speciality	Vascular Surgery
Experience	20 Years
Location	17404 Burke St Ste 102, Omaha, Nebraska
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 John Moonkeun Park attended and graduated from University Of Nebraska College Of Medicine in 2005

NPI Data:

NPI Number: 1023394665
Provider Enumeration Date: 10/27/2011
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 5991960833
Enrollment ID: I20120627000677

Medical Identifiers

Medical identifiers for Dr John Moonkeun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023394665	NPI	-	NPPES
10025724800	Medicaid	NE
10026135100	Medicaid	NE
1023394665	Medicaid	IA
47068731713	Medicaid	NE
10026454700	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	35.095909 (Ohio)	Secondary
208600000X	Surgery	35.095909 (Ohio)	Secondary
2086S0129X	Surgery - Vascular Surgery	26509 (Nebraska)	Primary
2086S0129X	Surgery - Vascular Surgery	40563 (Iowa)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health Bergan Mercy	Omaha, NE	Hospital
Chi Health Immanuel	Omaha, NE	Hospital
Methodist Jennie Edmundson	Council bluffs, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sage Medical Prof Llc	4385992619	9
Vascular And Interventional Radiology Of Siouxland	7113330663	14
Vascular And Interventional Radiology Of Siouxland	7113330663	14

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 John Moonkeun Park allows following entities to bill medicare on his behalf.

Entity Name	Physicians Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345

Entity Name	Foot And Ankle Center Of Nebraska Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730149246 PECOS PAC ID: 2567409063 Enrollment ID: O20050415000621

Entity Name	Vascular & Interventional Radiology Of Siouxland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225636129 PECOS PAC ID: 7113330663 Enrollment ID: O20210224001838

Entity Name	Sage Medical Prof Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588156657 PECOS PAC ID: 4385992619 Enrollment ID: O20230523000767

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 John Moonkeun 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 John Moonkeun Park, MD 17404 Burke St Ste 102, Omaha, NE 68118-2242 Ph: (351) 466-4260	Dr John Moonkeun Park, MD 17404 Burke St Ste 102, Omaha, NE 68118-2242 Ph: (531) 466-4260

Reviews and Comments

Surgery Doctors in Omaha, NE

Bradley Hall, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 42 Nd And Emile Street Univ Of Nebraska Ctr, Department Of General Surgery, Omaha, NE 68198 Phone: 402-559-4300 Fax: 402-559-6749
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Dr. Alan T. Richards, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8303 Dodge St, Suite # 304, Omaha, NE 68114 Phone: 402-354-5048 Fax: 402-354-2585
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Dr. Abbey Fingeret, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: Emile 42nd St, Omaha, NE 68198 Phone: 402-559-5600 Fax: 402-559-7900
Dr. John Francis Tierney Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 988102 Nebraska Medical Ctr, Omaha, NE 68198 Phone: 402-559-6111

Dr John Moonkeun Park, MD - Medicare Vascular Surgery in Omaha, NE