Jin S Park, MD - Medicare Cardiovascular Disease (cardiology) in Kansas City, MO

Jin S Park, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Kansas City, Missouri. He went to State University Of Ny Upstate Medical University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Prime Healthcare Kansas City - Physician Services Llc, Prime Healthcare Kansas City - Physician Services Llc and his current practice location is 1000 Carondelet Dr Ste 201b, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (913) 956-2250.

Jin S Park is licensed to practice in Missouri (license number 20080015782) 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 1164400768.

Contact Information

Jin S Park, MD
1000 Carondelet Dr Ste 201b,
Kansas City, MO 64114
(913) 956-2250
(913) 956-2251

Map and Direction




Physician's Profile

Full NameJin S Park
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience32 Years
Location1000 Carondelet Dr Ste 201b, Kansas City, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jin S Park attended and graduated from State University Of Ny Upstate Medical University in 1992
  NPI Data:
  • NPI Number: 1164400768
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 02/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133292089
  • Enrollment ID: I20080725000057

Medical Identifiers

Medical identifiers for Jin S Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164400768NPI-NPPES
1164400768MedicaidMO
P00632841OtherMOMEDICARE RAILROAD
01990005MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 194765 (New York)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 2008015782 (Missouri)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 0433150 (Kansas)Secondary
207R00000XInternal Medicine 2008015782 (Missouri)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 20080015782 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterKansas city, MOHospital
St Marys Medical CenterBlue springs, MOHospital
Bates County Memorial HospitalButler, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prime Healthcare Kansas City - Physician Services Llc731526732579
Prime Healthcare Kansas City - Physician Services Llc731526732579

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. Jin S Park allows following entities to bill medicare on his behalf.
Entity NameEncompass Medical Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063457299
PECOS PAC ID: 0143116053
Enrollment ID: O20040226000869
Entity NamePrime Healthcare Kansas City - Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427449487
PECOS PAC ID: 7315267325
Enrollment ID: O20150514001835

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. Jin S 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 AddressPractice Location Address
Jin S Park, MD
1000 Carondelet Dr Ste 201b,
Kansas City, MO 64114-4673

Ph: (913) 956-2250
Jin S Park, MD
1000 Carondelet Dr Ste 201b,
Kansas City, MO 64114

Ph: (913) 956-2250

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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