Dr Yong Hwa Park, MD is a medicare enrolled "General Practice" physician in Novi, Michigan. His current practice location is
25676 Island Lake Dr, Novi, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 449-1726.
Dr Yong Hwa Park is licensed to practice in Michigan (license number 4301032388) 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 1316238470.
Physician's Profile
Full Name | Dr Yong Hwa Park |
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Gender | Male |
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Speciality | General Practice |
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Location | 25676 Island Lake Dr, Novi, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316238470
- Provider Enumeration Date: 04/25/2011
- Last Update Date: 06/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 6507158086
- Enrollment ID: I20160630002126
Medical Identifiers
Medical identifiers for Dr Yong Hwa Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316238470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301032388 (Michigan) | Primary |
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 Yong Hwa 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 Yong Hwa Park, MD 30970 Seneca Ln, Novi, MI 48377-1523 Ph: (586) 703-9780 | Dr Yong Hwa Park, MD 25676 Island Lake Dr, Novi, MI 48374-2175 Ph: (248) 449-1726 |
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