Roger Timothy Park, DO in Hyde Park, UT - Medicare Family Practice

Roger Timothy Park, DO is a medicare enrolled "Family Medicine" physician in Hyde Park, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4088 Us-91, Hyde Park, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 563-4900.

Roger Timothy Park is licensed to practice in Utah (license number 8647453-1204) 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 1295713444.

Contact Information

	Roger Timothy Park, DO
	4088 Us-91, Hyde Park, UT 84318
	(435) 563-4900
	Not Available

Map and Direction

Physician's Profile

Full Name	Roger Timothy Park
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	4088 Us-91, Hyde Park, Utah
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:

Roger Timothy Park attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2005

NPI Data:

NPI Number: 1295713444
Provider Enumeration Date: 01/06/2006
Last Update Date: 05/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7618164278
Enrollment ID: I20130819000094

Medical Identifiers

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

Identifier	Type	State	Issuer
1295713444	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8647453-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

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. Roger Timothy Park allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Roger Timothy 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
Roger Timothy Park, DO 4088 Us-91, Hyde Park, UT 84318 Ph: (435) 563-4900	Roger Timothy Park, DO 4088 Us-91, Hyde Park, UT 84318 Ph: (435) 563-4900

Reviews and Comments

Family Medicine Doctors in Hyde Park, UT

Casey Mckay Green, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888 Fax: 435-563-4832
Jonathan Terry Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4888
Jason Harper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4088 N Highway 91, Hyde Park, UT 84318 Phone: 435-563-4900 Fax: 435-563-4952

Roger Timothy Park, DO - Medicare Family Practice in Hyde Park, UT