Julie Park, MD in Columbia, MO - Medicare Pediatrics

Julie Park, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Columbia, Missouri. Her current practice location is 404 N Keene St, Women's And Children's Hospital, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-4438.

Julie Park is licensed to practice in Oregon (license number MD197784) 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 1568916625.

Contact Information

	Julie Park, MD
	404 N Keene St, Women's And Children's Hospital, Columbia, MO 65201-6626
	(573) 882-4438
	(573) 884-9992

Map and Direction

Physician's Profile

Full Name	Julie Park
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	404 N Keene St, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568916625
Provider Enumeration Date: 08/06/2016
Last Update Date: 08/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1658797030
Enrollment ID: I20240827003295

Medical Identifiers

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

Identifier	Type	State	Issuer
1568916625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2016022755 (Missouri)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	MD197784 (Oregon)	Primary

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

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Legacy Emanuel Hospital & Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204

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. Julie 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
Julie Park, MD 400 N Keene St, South Pavilion, Columbia, MO 65201-6626 Ph: (573) 882-4438	Julie Park, MD 404 N Keene St, Women's And Children's Hospital, Columbia, MO 65201-6626 Ph: (573) 882-4438

Reviews and Comments

Pediatrics Doctors in Columbia, MO

Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992
Madison T Ortega, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # 58.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964
Dr. Danielle Renee Keebaugh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992
Abdul-azeez Abdullahi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992
Melissa A Lawson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154

Julie Park, MD - Medicare Pediatrics in Columbia, MO