Jane J Park, MD is a medicare enrolled "Internal Medicine" physician in North Fort Myers, Florida. Her current practice location is
13279 N Cleveland Ave, North Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 652-4111.
Jane J Park is licensed to practice in Florida (license number ME132432) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790129898.
Physician's Profile
| Full Name | Jane J Park |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 13279 N Cleveland Ave, North Fort Myers, Florida |
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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: 1790129898
- Provider Enumeration Date: 04/19/2013
- Last Update Date: 03/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799044293
- Enrollment ID: I20220727003324
Medical Identifiers
Medical identifiers for Jane J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790129898 | NPI | - | NPPES |
| 102359500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | ME132432 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME132432 (Florida) | 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. Jane J 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 |
Jane J Park, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 652-4111 | Jane J Park, MD 13279 N Cleveland Ave, North Fort Myers, FL 33903-4818 Ph: (239) 652-4111 |
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