Mr Douglas J Park, PHD in Dearborn, MI

Mr Douglas J Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Dearborn, Michigan. His current practice location is 2314 Monroe St, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 565-5937.

Mr Douglas J Park is licensed to practice in Michigan (license number 6301011777) 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 1912967019.

Contact Information

	Mr Douglas J Park, PHD
	2314 Monroe St, Dearborn, MI 48124-3010
	(313) 565-5937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas J Park
Gender	Male
Speciality
Experience	Years
Location	2314 Monroe St, Dearborn, Michigan
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:

Mr Douglas J Park attended and graduated from in

NPI Data:

NPI Number: 1912967019
Provider Enumeration Date: 03/24/2006
Last Update Date: 05/19/2014

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Douglas J Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912967019	NPI	-	NPPES
680H216560	Other	MI	BLUE CARE NETWORK
680H216560	Other	MI	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301011777 (Michigan)	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. Mr Douglas J 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
Mr Douglas J Park, PHD 2314 Monroe St, Dearborn, MI 48124-3010 Ph: (313) 565-5937	Mr Douglas J Park, PHD 2314 Monroe St, Dearborn, MI 48124-3010 Ph: (313) 565-5937

Reviews and Comments

Psychologist in Dearborn, MI

Sara Pierce, M.S., TLLP Psychologist Medicare: Medicare Enrolled Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Ms. Jessica Dawn Clemons, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Parklane Blvd Ste 200e, Dearborn, MI 48126 Phone: 313-846-2606 Fax: 313-846-2657
Yasmeen Saba El-masry, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Mr. Giovanni Vitale Ii, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 23061 Nona St, Dearborn, MI 48124 Phone: 313-969-7750
Layla Obad, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 835 Mason St Ste B220, Dearborn, MI 48124 Phone: 313-561-9064
Karli Aliya Carpenter, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19855 Outer Dr Ste 300, Dearborn, MI 48124 Phone: 313-359-1977 Fax: 313-730-1677
Laurene Saad-younis, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5808 Schaefer Rd, Dearborn, MI 48126 Phone: 313-467-4653

Mr Douglas J Park, PHD - Medicare Psychologist in Dearborn, MI