Kichul Pak, MD - Medicare Psychiatry & Neurology in Hartford, CT

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Kichul Pak, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Hartford, Connecticut. His current practice location is 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 545-7064.

Kichul Pak is licensed to practice in Connecticut (license number 60509) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982023008.

Contact Information

Kichul Pak, MD
200 Retreat Avenue, Hartford Hospital Psychiatry Dept,
Hartford, CT 06106
(860) 545-7064
(860) 545-7268

Map and Direction




Physician's Profile

Full NameKichul Pak
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location200 Retreat Avenue, Hartford, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982023008
  • Provider Enumeration Date: 04/16/2014
  • Last Update Date: 07/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436373800
  • Enrollment ID: I20180723001527

Medical Identifiers

Medical identifiers for Kichul Pak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982023008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 60509 (Connecticut)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. Kichul Pak allows following entities to bill medicare on his behalf.
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407806391
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000700
Entity NameHartford Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770696643
PECOS PAC ID: 2567366016
Enrollment ID: O20031125000752
Entity NameState Of Connecticut
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245256247
PECOS PAC ID: 8022915677
Enrollment ID: O20040319000535
Entity NameHospital For Special Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477534089
PECOS PAC ID: 7810985637
Enrollment ID: O20040506000578

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. Kichul Pak 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
Kichul Pak, MD
200 Retreat Avenue, Hartford Hospital Psychiatry Dept,
Hartford, CT 06106-3309

Ph: (860) 545-7064		Kichul Pak, MD
200 Retreat Avenue, Hartford Hospital Psychiatry Dept,
Hartford, CT 06106

Ph: (860) 545-7064

Reviews and Comments


Psychiatry & Neurology Doctors in Hartford, CT

Dr. Alfred Herzog, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 80 Seymour Street, Hartford Hospital, Hartford, CT 06102
Phone: 860-545-3501    
J Daane Logsdon, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106
Phone: 860-545-7250    
Crystal Diane Salcido, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106
Phone: 860-545-7064    
Robert F Swords, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 675 Tower Ave, Suite 301, Hartford, CT 06112
Phone: 860-714-2750    Fax: 860-714-8591
Samira Savill Solomon, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 200 Retreat Ave, Hartford Hospital Psychiatry Dept., Hartford, CT 06106
Phone: 860-545-7330    
Dr. Ainsley E Backman, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 200 Retreat Ave, Hartford, CT 06106
Phone: 860-545-7062    
Adrian F Hale, DO
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 80 Seymour St, Hartford, CT 06106
Phone: 860-545-5000    

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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