Ji Hae Park, MD is a medicare enrolled "Urology" physician in Palisades Park, New Jersey. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2016 and has 8 years of diverse experience with area of expertise as Urology. She is a member of the group practice Rutgers Health-rwj Neurosurgery Faculty and her current practice location is
500 1st St, Palisades Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 240-8599.
Ji Hae Park is licensed to practice in New Jersey (license number P06084010062881) 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 1205298007.
Physician's Profile
| Full Name | Ji Hae Park |
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| Gender | Female |
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| Speciality | Urology |
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| Experience | 8 Years |
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| Location | 500 1st St, Palisades Park, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ji Hae Park attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2016
NPI Data:
- NPI Number: 1205298007
- Provider Enumeration Date: 03/22/2016
- Last Update Date: 03/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931501830
- Enrollment ID: I20210715000516
Medical Identifiers
Medical identifiers for Ji Hae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205298007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | P06084010062881 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rutgers Health-rwj Neurosurgery Faculty | 4587613443 | 95 |
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. Ji Hae Park allows following entities to bill medicare on her behalf.
| Entity Name | Rutgers Health-rwj Neurosurgery Faculty |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083738637
PECOS PAC ID: 4587613443
Enrollment ID: O20050118000611 |
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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. Ji Hae 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 |
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Ji Hae Park, MD
500 1st St,
Palisades Park, NJ 07650-2662
Ph: () - | Ji Hae Park, MD
500 1st St,
Palisades Park, NJ 07650-2662
Ph: (201) 240-8599 |
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