Dr Annie Park, DO - Medicare Hospitalist in Canton, GA

Dr Annie Park, DO is a medicare enrolled "Hospitalist" physician in Canton, Georgia. Her current practice location is 450 Northside Cherokee Blvd, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 224-1000.

Dr Annie Park is licensed to practice in Georgia (license number 79236) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194165944.

Contact Information

Dr Annie Park, DO
450 Northside Cherokee Blvd,
Canton, GA 30115-8015
(770) 224-1000
(770) 224-2451



Physician's Profile

Full NameDr Annie Park
GenderFemale
SpecialityHospitalist
Location450 Northside Cherokee Blvd, Canton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194165944
  • Provider Enumeration Date: 06/26/2013
  • Last Update Date: 01/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082900634
  • Enrollment ID: I20180111000172

Medical Identifiers

Medical identifiers for Dr Annie Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194165944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 079236 (Georgia)Secondary
207R00000XInternal Medicine 1688 (Alabama)Secondary
208M00000XHospitalist 79236 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Annie Park allows following entities to bill medicare on her behalf.
Entity NameYoung Won Kang M.d. P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447438874
PECOS PAC ID: 6002830155
Enrollment ID: O20060117000613

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Entity NameCapital Healthcare Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811239627
PECOS PAC ID: 3779723309
Enrollment ID: O20190125000554

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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 Annie 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 Annie Park, DO
Po Box 2705,
Huntsville, AL 35804-2705

Ph: (256) 265-3880
Dr Annie Park, DO
450 Northside Cherokee Blvd,
Canton, GA 30115-8015

Ph: (770) 224-1000

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Hospitalist Doctors in Canton, GA

Drake Christian Dehoff, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 770-224-1000    
Lindsey Hannah Panter, ACNP
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 770-224-2450    
Grant Herron Moody, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 770-224-1000    Fax: 770-224-2451
Dr. Neil K. Sinha, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 460 Northside Cherokee Blvd Ste 370, Canton, GA 30115
Phone: 678-880-7021    
Michael Anthony Martinelli, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 770-224-1388    Fax: 770-224-1386
Syed Nabi, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Hospital Rd, Canton, GA 30114
Phone: 770-720-5100    Fax: 404-851-6325
Dr. Rodrigo M Mancheno, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115
Phone: 770-224-1000    Fax: 770-224-2451

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