Byungchul Park, DDS in New London, CT - Medicare Dentist Provider

Byungchul Park, DDS is a medicare enrolled "Dentist - General Practice" provider in New London, Connecticut. His current practice location is 258 S Frontage Rd, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 437-3462.

Byungchul Park is licensed to practice in Connecticut (license number 011494) 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 1316317092.

Contact Information

	Byungchul Park, DDS
	258 S Frontage Rd, New London, CT 06320-2641
	(860) 437-3462
	Not Available

Healthcare Provider's Profile

Full Name	Byungchul Park
Gender	Male
Speciality	Dentist - General Practice
Location	258 S Frontage Rd, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316317092
Provider Enumeration Date: 10/06/2015
Last Update Date: 10/06/2015

Medicare PECOS Information:

PECOS PAC ID: 1850685637
Enrollment ID: I20160803000084

Medical Identifiers

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

Identifier	Type	State	Issuer
1316317092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	011494 (Connecticut)	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. Byungchul 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
Byungchul Park, DDS 258 S Frontage Rd, New London, CT 06320-2641 Ph: (860) 437-3462	Byungchul Park, DDS 258 S Frontage Rd, New London, CT 06320-2641 Ph: (860) 437-3462

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Dentist in New London, CT

Sung Woo Cho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 258 S Frontage Rd, New London, CT 06320 Phone: 860-437-3462
Teresa Matyas, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Shaws Cv Ste 202, New London, CT 06320 Phone: 860-443-4199
Rodcliffe Wint, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 464 Montauk Ave, New London, CT 06320 Phone: 347-575-0520
Dr. Aravind Balagopalan Menon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 Hempstead St, New London, CT 06320 Phone: 860-447-3216 Fax: 860-701-6019
Dr. Christopher Brett Clark, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 Hempstead St, New London, CT 06320 Phone: 860-447-3216 Fax: 860-701-6019
Dr. Janellen G Matyas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4 Shaws Cv Ste 202, New London, CT 06320 Phone: 860-443-4199 Fax: 860-444-6145
Dr. Aman Syed, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Ave, Suite 102, New London, CT 06320 Phone: 860-447-9280 Fax: 860-437-1938

Byungchul Park, DDS - Medicare Dentist in New London, CT