Mary Park, MD - Medicare Obstetrics & Gynecology in Port Angeles, WA

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Mary Park, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Port Angeles, Washington. Her current practice location is 939 Caroline St # 3e, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 565-0599.

Mary Park is licensed to practice in Washington (license number MD61579915) 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 1609161330.

Contact Information

Mary Park, MD
939 Caroline St # 3e,
Port Angeles, WA 98362-3909
(360) 565-0599
(360) 452-7303

Map and Direction




Physician's Profile

Full NameMary Park
GenderFemale
SpecialityObstetrics & Gynecology
Location939 Caroline St # 3e, Port Angeles, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609161330
  • Provider Enumeration Date: 06/10/2011
  • Last Update Date: 10/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022321975
  • Enrollment ID: I20211202002260

Medical Identifiers

Medical identifiers for Mary Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609161330NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics 280368 (New York)Secondary
207V00000XObstetrics & Gynecology MD61579915 (Washington)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. Mary Park allows following entities to bill medicare on her behalf.
Entity NameProwers County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821052929
PECOS PAC ID: 4486568508
Enrollment ID: O20031113000509
Entity NameBanner Health Physicians Colorado Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073899134
PECOS PAC ID: 8921273038
Enrollment ID: O20111219000237

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. Mary 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
Mary Park, MD
Po Box 850,
Port Angeles, WA 98362-0146

Ph: () -		Mary Park, MD
939 Caroline St # 3e,
Port Angeles, WA 98362-3909

Ph: (360) 565-0599

Reviews and Comments


Obstetrics & Gynecology Doctors in Port Angeles, WA

Oksana Y Shklyanka, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 939 Caroline St # 3e, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-452-7303
Alford Nathaniel Vassall Jr., M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 939 Caroline St Ste A, Port Angeles, WA 98362
Phone: 360-655-0999    Fax: 360-452-7303
Mr. Stephen D Bush, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 939 Caroline St # 3e, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-452-7303
Michael Thomas Jennings, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 433 E 8th St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-452-7303
Sheena Plamoottil, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 907 Georgiana St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-452-7303
Emily Marie Wallen, DO
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 433 E 8th St, Port Angeles, WA 98362
Phone: 360-565-0999    Fax: 360-452-7303

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.