Dr David J Park, MD - Medicare Family Practice in White River Junction, VT

Dr David J Park, MD is a medicare enrolled "Family Medicine" physician in White River Junction, Vermont. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice White River Family Practice Pc and his current practice location is 331 Olcott Dr, Ste U3, White River Junction, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 295-6132.

Dr David J Park is licensed to practice in Vermont (license number 042-0010755) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790780211.

Contact Information

Dr David J Park, MD
331 Olcott Dr, Ste U3,
White River Junction, VT 05001-9601
(802) 295-6132
(802) 295-1358



Physician's Profile

Full NameDr David J Park
GenderMale
SpecialityFamily Practice
Experience23 Years
Location331 Olcott Dr, White River Junction, Vermont
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David J Park attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2001
  NPI Data:
  • NPI Number: 1790780211
  • Provider Enumeration Date: 06/21/2005
  • Last Update Date: 03/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7113998154
  • Enrollment ID: I20040804000092

Medical Identifiers

Medical identifiers for Dr David J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790780211NPI-NPPES
1010649MedicaidVT
8000079MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 042-0010755 (Vermont)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vna Of Vt & NhWhite river junction, VTHome health agency
Bayada Home Health CareWilliston, VTHome health agency
Bayada HospiceNorwich, VTHospice
Mary Hitchcock Memorial HospitalLebanon, NHHospital
Alice Peck Day Memorial HospitalLebanon, NHHospital
Mt Ascutney HospitalWindsor, VTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White River Family Practice Pc39715613589

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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 David J Park allows following entities to bill medicare on his behalf.
Entity NameWhite River Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518032564
PECOS PAC ID: 3971561358
Enrollment ID: O20050103000168

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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 David J 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 David J Park, MD
331 Olcott Dr, Ste U3,
White River Junction, VT 05001-9601

Ph: (802) 295-6132
Dr David J Park, MD
331 Olcott Dr, Ste U3,
White River Junction, VT 05001-9601

Ph: (802) 295-6132

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Family Medicine Doctors in White River Junction, VT

Dr. Carol Lee Blackwood, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 215 N Main St, Veterans Affairs Medical Center, White River Junction, VT 05009
Phone: 802-742-0415    
Dr. Michael L Lyons, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001
Phone: 802-295-6132    Fax: 802-295-1358
Dr. Angela M Toms, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001
Phone: 802-295-6132    Fax: 802-295-1358
Dr. Mark M Nunlist, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001
Phone: 802-295-6132    Fax: 802-295-1358
Jill I Blumberg, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 331 Olcott Dr, Suite U3, White River Junction, VT 05001
Phone: 802-295-6132    
Dr. Julie S Davis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 331 Olcott Dr, Ste U3, White River Junction, VT 05001
Phone: 802-295-6132    Fax: 802-295-1358

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