Dr Jeanie Park, MD - Medicare Internal Medicine in Atlanta, GA

Dr Jeanie Park, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Atlanta, Georgia. Her current practice location is 550 Peachtree St Ne, Mot 8th Floor, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 686-5038.

Dr Jeanie Park is licensed to practice in Georgia (license number 061137) 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 1043409048.

Contact Information

Dr Jeanie Park, MD
550 Peachtree St Ne, Mot 8th Floor,
Atlanta, GA 30308-2208
(404) 686-5038
(404) 686-4995



Physician's Profile

Full NameDr Jeanie Park
GenderFemale
SpecialityInternal Medicine - Nephrology
Location550 Peachtree St Ne, Atlanta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043409048
  • Provider Enumeration Date: 10/16/2007
  • Last Update Date: 05/17/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3476529348
  • Enrollment ID: I20081028000356

Medical Identifiers

Medical identifiers for Dr Jeanie Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043409048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 061137 (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 Jeanie Park allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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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 Jeanie 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 Jeanie Park, MD
1670 Clairmont Rd, Renal/nephrology And Hemodialysis Med (111),
Decatur, GA 30033-4004

Ph: (404) 321-6111
Dr Jeanie Park, MD
550 Peachtree St Ne, Mot 8th Floor,
Atlanta, GA 30308-2208

Ph: (404) 686-5038

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Internal Medicine Doctors in Atlanta, GA

Khadeja Jamilia Johnson, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318
Phone: 404-756-1290    
Dr. Matthew J. Wilson, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328
Phone: 404-252-7970    Fax: 404-250-0553
Kajal Patel, M.D, M.P.H
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322
Phone: 404-778-2700    
Dr. Earl Stewart Jr., M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339
Phone: 678-556-4950    
Mary E. Bergh, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342
Phone: 404-303-3320    Fax: 404-303-3464
John J Doran, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1365 Clifton Rd Ne Bldg A, The Emory Clinic - Nephrology, Atlanta, GA 30322
Phone: 404-778-5380    
Frank A Anania, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1365 Clifton Rd Ne Ste B1266, The Emory Clinic - Gastroenterology, Atlanta, GA 30322
Phone: 404-778-3184    

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