Jeong Mi Pak, APRN - Medicare Nurse Practitioner in Paramus, NJ

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Jeong Mi Pak, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Paramus, New Jersey. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Step Up Care Pc Llc and her current practice location is 11-13 Sunflower Ave, Paramus, New Jersey. You can reach out to her office (for appointments etc.) via phone at (855) 505-2880.

Jeong Mi Pak is licensed to practice in Connecticut (license number 8209) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174097331.

Contact Information

Jeong Mi Pak, APRN
11-13 Sunflower Ave,
Paramus, NJ 07652-3700
(855) 505-2880
Not Available

Map and Direction




Provider's Profile

Full NameJeong Mi Pak
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location11-13 Sunflower Ave, Paramus, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jeong Mi Pak graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174097331
  • Provider Enumeration Date: 01/21/2019
  • Last Update Date: 03/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2668801168
  • Enrollment ID: I20201201000118

Medical Identifiers

Medical identifiers for Jeong Mi Pak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174097331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 816263 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01120900 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11005195 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8209 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Step Up Care Pc Llc5496088346129

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. Jeong Mi Pak allows following entities to bill medicare on her behalf.
Entity NameProspect Rockville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205283538
PECOS PAC ID: 4880988211
Enrollment ID: O20160913001880
Entity NameProspect Manchester Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316394638
PECOS PAC ID: 9234423625
Enrollment ID: O20160926000570
Entity NameStep Up Care Pc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156
Entity NamePeaceful Mind Behavioral Health & Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255926358
PECOS PAC ID: 0941683056
Enrollment ID: O20220822002310

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. Jeong Mi 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
Jeong Mi Pak, APRN
574 Willis St,
Bristol, CT 06010-7267

Ph: (866) 333-9758		Jeong Mi Pak, APRN
11-13 Sunflower Ave,
Paramus, NJ 07652-3700

Ph: (855) 505-2880

Reviews and Comments


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Mrs. Althea Doreen Brown,
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Manjinder Kaur, APN
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Bernard Favarato Perutti, AGPCNP
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Phone: 551-996-1342    

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.