Hana Park, in Fayetteville, GA - Medicare Emergency Medicine

Hana Park, is a medicare enrolled "Emergency Medicine" physician in Fayetteville, Georgia. She went to Philadelphia Col Of Osteo Med, Sewanee and graduated in 2020 and has 6 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Emergency Care Services Of Pennsylvania Pc and her current practice location is 1255 Highway 54 W, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 719-7000.

Hana Park is licensed to practice in Pennsylvania (license number OS022985) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114546629.

Contact Information

	Hana Park,
	1255 Highway 54 W, Fayetteville, GA 30214-4526
	(770) 719-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Hana Park
Gender	Female
Speciality	Emergency Medicine
Experience	6 Years
Location	1255 Highway 54 W, Fayetteville, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hana Park attended and graduated from Philadelphia Col Of Osteo Med, Sewanee in 2020

NPI Data:

NPI Number: 1114546629
Provider Enumeration Date: 04/14/2020
Last Update Date: 12/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4587087408
Enrollment ID: I20230816002192

Medical Identifiers

Medical identifiers for Hana Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114546629	NPI	-	NPPES
0935379	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	OS022985 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center	Langhorne, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Care Services Of Pennsylvania Pc	1759301799	36

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. Hana Park allows following entities to bill medicare on her behalf.

Entity Name	Emergency Care Services Of Pennsylvania Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046

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. Hana 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
Hana Park, 677 Church St Ne, Marietta, GA 30060-1101 Ph: () -	Hana Park, 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-7000

Reviews and Comments

Emergency Medicine Doctors in Fayetteville, GA

Dr. Robin Lowman White, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911
Dr. Chionesu Sonyika, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-229-6911
Dr. Salih O Faldon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, 506, Fayetteville, GA 30214 Phone: 678-817-9255 Fax: 678-817-9295
Frank Brown, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Eastbrook Bend, Suite B, Fayetteville, GA 30214 Phone: 404-605-3297
Brooke Augustin-coley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911
Dr. Ajala Osagie, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6911

Hana Park, - Medicare Emergency Medicine in Fayetteville, GA