John Joohun Park, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Champaign, Illinois. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Osf Multi-specialty Group, Chambana Urgent Care And Walk In Clinic and his current practice location is
1907 W Springfield Ave Ste B, Champaign, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 530-0220.
John Joohun Park is licensed to practice in Illinois (license number 209030497) 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 1477389773.
Physician's Profile
| Full Name | John Joohun Park |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 1907 W Springfield Ave Ste B, Champaign, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- John Joohun Park graduated from medical school in 2024
NPI Data:
- NPI Number: 1477389773
- Provider Enumeration Date: 09/12/2024
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608307772
- Enrollment ID: I20240930002714
Medical Identifiers
Medical identifiers for John Joohun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477389773 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 209030497 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209030497 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Chambana Urgent Care And Walk In Clinic | 5395196372 | 3 |
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. John Joohun Park allows following entities to bill medicare on his behalf.
| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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| Entity Name | Chambana Urgent Care And Walk In Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770358871 PECOS PAC ID: 5395196372 Enrollment ID: O20240104001617 |
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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. John Joohun 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 |
John Joohun Park, APRN 1907 W Springfield Ave Ste B, Champaign, IL 61821-3098 Ph: (217) 530-0220 | John Joohun Park, APRN 1907 W Springfield Ave Ste B, Champaign, IL 61821-3098 Ph: (217) 530-0220 |
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