Dr Jae Sung Park, DMD - Medicare Dentist in Rock Hill, SC

Dr Jae Sung Park, DMD is a medicare enrolled "Dentist - General Practice" provider in Rock Hill, South Carolina. His current practice location is 1578 Constitution Blvd, Suite 01, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 366-1456.

Dr Jae Sung Park is licensed to practice in South Carolina (license number DGD.8288 GD) 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 1134551716.

Contact Information

Dr Jae Sung Park, DMD
1578 Constitution Blvd, Suite 01,
Rock Hill, SC 29732-3543
(803) 366-1456
(803) 324-0117



Healthcare Provider's Profile

Full NameDr Jae Sung Park
GenderMale
SpecialityDentist - General Practice
Location1578 Constitution Blvd, Rock Hill, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134551716
  • Provider Enumeration Date: 08/06/2013
  • Last Update Date: 12/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406142207
  • Enrollment ID: I20160902001276

Medical Identifiers

Medical identifiers for Dr Jae Sung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134551716NPI-NPPES
ZX8288MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DGD.8288 GD (South Carolina)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 Jae Sung 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 AddressPractice Location Address
Dr Jae Sung Park, DMD
1578 Constitution Blvd, Suite 01,
Rock Hill, SC 29732-3543

Ph: (803) 366-1456
Dr Jae Sung Park, DMD
1578 Constitution Blvd, Suite 01,
Rock Hill, SC 29732-3543

Ph: (803) 366-1456

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Dentist in Rock Hill, SC

Yi Feng,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2022 Cherry Rd, Rock Hill, SC 29732
Phone: 803-324-9400    
Dr. Tawana Denise Feimster, DDS, MS
Dentist
Medicare: Medicare Enrolled
Practice Location: 775 Addison Dr Ste 111, Rock Hill, SC 29730
Phone: 980-316-7109    Fax: 980-939-0170
Dr. Michele Boyne, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1562 Constitution Blvd, Ste 102, Rock Hill, SC 29732
Phone: 803-328-8865    Fax: 803-328-8931
Michael Glenn Barker, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 1447 Ebenezer Road, Rock Hill, SC 29732
Phone: 803-327-2036    Fax: 803-324-7336
Mrs. Rhonda Gail Carter, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 372 S Herlong Ave, Rock Hill, SC 29732
Phone: 803-324-1160    
Laura J Mclaughlin, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1342 Ebenezer Rd, Rock Hill, SC 29732
Phone: 803-980-7645    Fax: 803-980-7655
Dr. Margaret June O'connell, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1144 India Hook Rd, Suite F, Rock Hill, SC 29732
Phone: 407-923-1348    

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