Dr Quentin Gin Park, OD in Addison, IL - Medicare Optometrist Provider

Dr Quentin Gin Park, OD is a medicare enrolled "Optometrist" provider in Addison, Illinois. His current practice location is 1250 W Lake St Ste 19c, Addison, Illinois. You can reach out to his office (for appointments etc.) via phone at (630) 543-0607.

Dr Quentin Gin Park is licensed to practice in Illinois (license number 046009672) 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 1003830340.

Contact Information

	Dr Quentin Gin Park, OD
	1250 W Lake St Ste 19c, Addison, IL 60101-5744
	(630) 543-0607
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Quentin Gin Park
Gender	Male
Speciality	Optometrist
Location	1250 W Lake St Ste 19c, Addison, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003830340
Provider Enumeration Date: 07/27/2006
Last Update Date: 02/16/2025

Medicare PECOS Information:

PECOS PAC ID: 5193787315
Enrollment ID: I20041101000050

Medical Identifiers

Medical identifiers for Dr Quentin Gin Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003830340	NPI	-	NPPES
4584027	Other	IL	BCBS PIN
363187524	Other	IL	CIGNA
363187524	Other	IL	PHCS PIN
363187524	Other	IL	AETNA
K11567	Other	IL	MEDICARE PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046009672 (Illinois)	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. Dr Quentin Gin Park allows following entities to bill medicare on his behalf.

Provider Name	Bill M Park
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1912902115 PECOS PAC ID: 9830151018 Enrollment ID: I20070503000504

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. Dr Quentin Gin 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
Dr Quentin Gin Park, OD 1250 W Lake St Ste 19c, Addison, IL 60101-5744 Ph: (630) 543-0607	Dr Quentin Gin Park, OD 1250 W Lake St Ste 19c, Addison, IL 60101-5744 Ph: (630) 543-0607

Reviews and Comments

Optometrist in Addison, IL

Dr. Curran Allenstein, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Rohlwing Rd, Addison, IL 60101 Phone: 630-620-0170 Fax: 630-620-0186
Eddie Lawando, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1006 N Rohlwing Rd, Addison, IL 60101 Phone: 630-932-7770
Jessica A Vitale, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 W Lake St Ste 106, Addison, IL 60101 Phone: 630-773-9410 Fax: 630-773-9473
James A Vitale O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1600 W Lake St, Suite 106, Addison, IL 60101 Phone: 630-773-9410
Dr. Steve P. Butzon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 207 S Addison Rd, Addison, IL 60101 Phone: 630-279-8866 Fax: 630-279-2609
Amal M. Hassan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1050 N Rohlwing Rd, Addison, IL 60101 Phone: 630-424-0038

Dr Quentin Gin Park, OD - Medicare Optometrist in Addison, IL