Dr Jonathon Lex Park, MD in Bandon, OR - Medicare Family Practice

Dr Jonathon Lex Park, MD is a medicare enrolled "Family Medicine" physician in Bandon, Oregon. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Bend Medical Center Inc and his current practice location is 110 10th St Se, Bandon, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 347-2313.

Dr Jonathon Lex Park is licensed to practice in Oregon (license number MD23699) 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 1588649289.

Contact Information

	Dr Jonathon Lex Park, MD
	110 10th St Se, Bandon, OR 97411-9157
	(541) 347-2313
	(541) 347-2015

Map and Direction

Physician's Profile

Full Name	Dr Jonathon Lex Park
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	110 10th St Se, Bandon, Oregon
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 Jonathon Lex Park graduated from medical school in 1994

NPI Data:

NPI Number: 1588649289
Provider Enumeration Date: 12/14/2005
Last Update Date: 10/09/2013

Medicare PECOS Information:

PECOS PAC ID: 7911048954
Enrollment ID: I20100112000789

Medical Identifiers

Medical identifiers for Dr Jonathon Lex Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588649289	NPI	-	NPPES
R0000WFBTV	Other	OR	MEDICARE GROUP PIN NUMBER
1407812365	Other	OR	NBMC GROUP NPI NUMBER
93063551	Other	OR	GROUP TAX ID NUMBER
CD8723	Other	OR	RR MEDICARE GROUP NUMBER
080182358	Other	OR	RR MEDICARE PTAN NUMBER
286887	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD23699 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Coast Hospice & Palliative Care Services, In	Coos bay, OR	Hospice
Southern Coos Hospital & Health Center	Bandon, OR	Hospital
Bay Area Hospital	Coos bay, OR	Hospital
Curry General Hospital	Gold beach, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Bend Medical Center Inc	5597677716	83

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 Jonathon Lex Park allows following entities to bill medicare on his behalf.

Entity Name	North Bend Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138

Entity Name	Bay Area Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301

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 Jonathon Lex 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 Jonathon Lex Park, MD 1900 Woodland Dr, Coos Bay, OR 97420-0000 Ph: (541) 267-5151	Dr Jonathon Lex Park, MD 110 10th St Se, Bandon, OR 97411-9157 Ph: (541) 347-2313

Reviews and Comments

Family Medicine Doctors in Bandon, OR

Mrs. Janet M Bates, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 6th St Sw, Bandon, OR 97411 Phone: 541-297-1974 Fax: 512-342-9949
Dr. Henry H. Holmes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se, Suite 110, Bandon, OR 97411 Phone: 541-347-2529 Fax: 541-347-9196
Emily Anne Reinig, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 1st St Se Ste 110, Bandon, OR 97411 Phone: 541-347-2529
Gail K Mcclave, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 475 Elmira Ave Se, Suite103, Bandon, OR 97411 Phone: 541-347-2111 Fax: 541-347-1212

Dr Jonathon Lex Park, MD - Medicare Family Practice in Bandon, OR