Dr Henry Insuk Park, DDS in Annandale, VA - Medicare Dentist Provider

Dr Henry Insuk Park, DDS is a medicare enrolled "Dentist - General Practice" provider in Annandale, Virginia. His current practice location is 7611 Little River Tpke, Suite 106w, Annandale, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 750-0110.

Dr Henry Insuk Park is licensed to practice in Virginia (license number 0401410785) 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 1083688147.

Contact Information

	Dr Henry Insuk Park, DDS
	7611 Little River Tpke, Suite 106w, Annandale, VA 22003-2602
	(703) 750-0110
	(703) 750-1211

Healthcare Provider's Profile

Full Name	Dr Henry Insuk Park
Gender	Male
Speciality	Dentist - General Practice
Location	7611 Little River Tpke, Annandale, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083688147
Provider Enumeration Date: 02/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8921301599
Enrollment ID: I20160115000095

Medical Identifiers

Medical identifiers for Dr Henry Insuk Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083688147	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	13147 (Maryland)	Secondary
1223G0001X	Dentist - General Practice	049343-1 (New York)	Secondary
1223G0001X	Dentist - General Practice	0401410785 (Virginia)	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. Dr Henry Insuk 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 Henry Insuk Park, DDS 7611 Little River Tpke, Suite 106w, Annandale, VA 22003-2602 Ph: (703) 750-0110	Dr Henry Insuk Park, DDS 7611 Little River Tpke, Suite 106w, Annandale, VA 22003-2602 Ph: (703) 750-0110

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Dentist in Annandale, VA

Dr. Eul-mo Kang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4540a John Marr Dr, Annandale, VA 22003 Phone: 703-333-3016 Fax: 703-333-3018
Dr. Olmedo Ivan Villavicencio, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7501 Little River Tpke Ste 105, Annandale, VA 22003 Phone: 703-354-2878 Fax: 703-354-2712
Dr. Lynn M Farrey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4322 Ravensworth Rd, Annandale, VA 22003 Phone: 703-256-5870
Dr. John Douglas Wooddell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3299 Woodburn Rd, Ste 440, Annandale, VA 22003 Phone: 703-698-9698 Fax: 703-849-0935
Dr. Meghan J. Lindgren, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4600 John Marr Dr, Annandale, VA 22003 Phone: 703-750-9393 Fax: 703-750-5420
Dr. Jonathan B Vo, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7519 Little River Tpke Apt T-1, Annandale, VA 22003 Phone: 571-299-0655

Dr Henry Insuk Park, DDS - Medicare Dentist in Annandale, VA