Micah Park, MD in Washington, DC - Medicare Student in an Organized Health Care Education/Training Program

Micah Park, MD - Medicare Student in an Organized Health Care Education/Training Program in Washington, DC

Micah Park, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Washington, District Of Columbia. Her current practice location is 1100 Alabama Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 299-5334.

Micah Park is licensed to practice in * (Not Available) (license number ) 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 1659994473.

Contact Information

	Micah Park, MD
	1100 Alabama Ave Se, Washington, DC 20032-4542
	(202) 299-5334
	Not Available

Map and Direction

Physician's Profile

Full Name	Micah Park
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	1100 Alabama Ave Se, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659994473
Provider Enumeration Date: 05/27/2020
Last Update Date: 07/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0547684045
Enrollment ID: I20200716002262

Medical Identifiers

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

Identifier	Type	State	Issuer
1659994473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD210011823 (District Of Columbia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Micah 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
Micah Park, MD 1100 Alabama Ave Se, Washington, DC 20032-4542 Ph: (202) 299-5334	Micah Park, MD 1100 Alabama Ave Se, Washington, DC 20032-4542 Ph: (202) 299-5334