Kyuwon Park, APRN in The Villages, FL - Medicare Nurse Practitioner

Kyuwon Park, APRN is a medicare enrolled "Nurse Practitioner" in The Villages, Florida. His current practice location is 910 Old Camp Rd Ste 210, The Villages, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 751-3356.

Kyuwon Park is licensed to practice in Florida (license number 11034023) 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 1700610532.

Contact Information

	Kyuwon Park, APRN
	910 Old Camp Rd Ste 210, The Villages, FL 32162-5605
	(352) 751-3356
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyuwon Park
Gender	Male
Speciality	Nurse Practitioner
Location	910 Old Camp Rd Ste 210, The Villages, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700610532
Provider Enumeration Date: 08/26/2024
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 1153862578
Enrollment ID: I20240925000567

Medical Identifiers

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

Identifier	Type	State	Issuer
1700610532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11034023 (Florida)	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. Kyuwon Park allows following entities to bill medicare on his behalf.

Entity Name	Citrus Cardiology Consultants, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669405379 PECOS PAC ID: 6103710835 Enrollment ID: O20040212000166

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. Kyuwon 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
Kyuwon Park, APRN 2714 Se 30th St, Ocala, FL 34471-0822 Ph: (352) 615-3051	Kyuwon Park, APRN 910 Old Camp Rd Ste 210, The Villages, FL 32162-5605 Ph: (352) 751-3356

Reviews and Comments

Nurse Practitioner Nurses in The Villages, FL

Tabitha Starr Davidson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 Brownwood Blvd, The Villages, FL 32163 Phone: 844-884-9355 Fax: 352-674-8714
Noelle Elizabeth Buonincontri, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969
Uravbhai Patel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd Ste 270, The Villages, FL 32162 Phone: 352-633-1966 Fax: 352-633-1969
Laura Megan Coffin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 340 Heald Way Ste 208, The Villages, FL 32163 Phone: 352-399-7301
Elexa Molinary, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 8877 Se 165th Mulberry Ln, The Villages, FL 32162 Phone: 844-884-9355 Fax: 352-674-8950
Amber Leigh Krause, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2910 Brownwood Blvd, The Villages, FL 32163 Phone: 352-205-4032
Jaime Leavitt, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159

Kyuwon Park, APRN - Medicare Nurse Practitioner in The Villages, FL