Kyung Mook Park, DDS in Abilene, TX - Medicare Dentist Provider

Kyung Mook Park, DDS is a medicare enrolled "Dentist - General Practice" provider in Abilene, Texas. His current practice location is 1034 N Willis St, Abilene, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 673-8164.

Kyung Mook Park is licensed to practice in Texas (license number 27715) 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 1013283613.

Contact Information

	Kyung Mook Park, DDS
	1034 N Willis St, Abilene, TX 79603-4622
	(325) 673-8164
	(325) 673-0812

Healthcare Provider's Profile

Full Name	Kyung Mook Park
Gender	Male
Speciality	Dentist - General Practice
Location	1034 N Willis St, Abilene, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013283613
Provider Enumeration Date: 03/28/2012
Last Update Date: 06/27/2016

Medicare PECOS Information:

PECOS PAC ID: 6204125099
Enrollment ID: I20160518000647

Medical Identifiers

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

Identifier	Type	State	Issuer
1013283613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	27715 (Texas)	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. Kyung Mook 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
Kyung Mook Park, DDS 1034 N Willis St, Abilene, TX 79603-4622 Ph: (325) 673-8164	Kyung Mook Park, DDS 1034 N Willis St, Abilene, TX 79603-4622 Ph: (325) 673-8164

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Dentist in Abilene, TX

Dr. Dru Bart Bourland, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4601 Buffalo Gap Rd, Ste D1, Abilene, TX 79606 Phone: 325-695-3300 Fax: 325-695-9899
James H Brooks, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3281 S 27th St, Abilene, TX 79605 Phone: 325-695-1131 Fax: 325-695-7771
Robert Earl Russell Hawley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2423 Barrow Street, Abilene, TX 79605 Phone: 325-692-0565 Fax: 325-692-5330
Don Wayne Mc Collum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 Pine St, Abilene, TX 79601 Phone: 325-672-2021 Fax: 325-672-9561
Clayton Zachery Runyan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5309 Buffalo Gap Rd, Abilene, TX 79606 Phone: 325-692-3344 Fax: 325-692-3346
Stanley Don Turner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3118 Buffalo Gap Rd, Abilene, TX 79605 Phone: 325-698-3384 Fax: 325-692-3687

Kyung Mook Park, DDS - Medicare Dentist in Abilene, TX