Dr Chan J Park, MD - Surgery in Vermillion, SD

Dr Chan J Park, MD is a Surgery physician based in Vermillion, South Dakota. Dr Chan J Park is licensed to practice in South Dakota (license number 5009) and his current practice location is 20 S Plum St, Vermillion, South Dakota. He can be reached at his office (for appointments etc.) via phone at (605) 624-9111.

NPI number for Dr Chan J Park is 1306894332 and his current mailing address is Po Box 5074, Sioux Falls, South Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306894332.

Contact Information

Dr Chan J Park, MD
20 S Plum St,
Vermillion, SD 57069-3346
(605) 624-9111
(605) 624-6636



Physician's Profile

Full NameDr Chan J Park
GenderMale
SpecialitySurgery
Location20 S Plum St, Vermillion, South Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306894332
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 09/12/2013

Medical Identifiers

Medical identifiers for Dr Chan J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306894332NPI-NPPES
7301822MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5009 (South Dakota)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 Chan J Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chan J Park, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Dr Chan J Park, MD
20 S Plum St,
Vermillion, SD 57069-3346

Ph: (605) 624-9111

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› Verified 4 days ago


Surgery Doctors in Vermillion, SD

Dr. Jacob Frank Quail, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 20 S Plum St, Vermillion, SD 57069
Phone: 605-677-3700    

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