Dr Jaehyeon Park, MD - Medicare Family Practice in Rolla, MO

Dr Jaehyeon Park, MD is a medicare enrolled "Family Medicine" physician in Rolla, Missouri. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Springfield Communities and his current practice location is 1605 Martin Springs Dr Ste 230, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 458-6326.

Dr Jaehyeon Park is licensed to practice in Missouri (license number 2022025511) 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 1447802681.

Contact Information

Dr Jaehyeon Park, MD
1605 Martin Springs Dr Ste 230,
Rolla, MO 65401-2980
(573) 458-6326
Not Available



Physician's Profile

Full NameDr Jaehyeon Park
GenderMale
SpecialityFamily Practice
Experience5 Years
Location1605 Martin Springs Dr Ste 230, Rolla, Missouri
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 Jaehyeon Park graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1447802681
  • Provider Enumeration Date: 07/09/2019
  • Last Update Date: 07/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901131911
  • Enrollment ID: I20220726002792

Medical Identifiers

Medical identifiers for Dr Jaehyeon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447802681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125-075031 (Illinois)Secondary
207Q00000XFamily Medicine 2022025511 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeRolla, MOHome health agency
Phelps Regional HomecareRolla, MOHospice
Mercy Hospital LebanonLebanon, MOHospital
Phelps County Regional Medical CenterRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Clinic Springfield Communities7416865845922

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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 Jaehyeon Park allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060

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Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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Quotient's ALBAcyte Reagent Red Blood Cell products receive U.S. FDA license

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As an arm of the innate immune system, white blood cells called neutrophils form the first line of defense against invading pathogens.

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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 Jaehyeon 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 Jaehyeon Park, MD
1605 Martin Springs Dr Ste 230,
Rolla, MO 65401-2980

Ph: (573) 458-6326
Dr Jaehyeon Park, MD
1605 Martin Springs Dr Ste 230,
Rolla, MO 65401-2980

Ph: (573) 458-6326

News Archive

Researchers identify promising new drug target for Ewing sarcoma

Screening a class of recently-developed drug compounds - so-called "CDK inhibitors" capable of blocking CDK7/12/13 proteins - against hundreds of different human cancer cell lines, researchers at Dana-Farber/Boston Children's Cancer and Blood Disorders Center have found that CDK12 inhibitors pack a particularly lethal punch to Ewing sarcoma, a rare cancer typically affecting children and young adults.

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Family Medicine Doctors in Rolla, MO

Dr. Katie Elizabeth Hern, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401
Phone: 573-458-6350    Fax: 573-458-6764
Dr. Omofolarin Babatunji Fasuyi, M.D, M.P.H
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401
Phone: 573-458-6326    
Dr. Randall G. Dudik, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401
Phone: 573-341-3043    Fax: 573-341-5208
Dr. Luther D. Spurlock, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1100 W 10th St, Suite 160, Rolla, MO 65401
Phone: 573-341-3043    Fax: 573-341-5208
Dr. Kimberly D. Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1081 E 18th St, Rolla, MO 65401
Phone: 734-262-4075    Fax: 573-426-6723
Mr. Matthew Timothy Porter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 831 Laurel Dr, Rolla, MO 65401
Phone: 573-596-1765    

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