Dr Ji-weon Park, MD - Medicare Pathology in Lake Forest, IL

Dr Ji-weon Park, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Lake Forest, Illinois. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 1000 N Westmoreland Rd # Ll0519, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 535-6218.

Dr Ji-weon Park is licensed to practice in Illinois (license number 036137671) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1952573511.

Contact Information

Dr Ji-weon Park, MD
1000 N Westmoreland Rd # Ll0519,
Lake Forest, IL 60045-1658
(847) 535-6218
(847) 535-6237



Physician's Profile

Full NameDr Ji-weon Park
GenderFemale
SpecialityPathology
Experience19 Years
Location1000 N Westmoreland Rd # Ll0519, Lake Forest, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ji-weon Park graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1952573511
  • Provider Enumeration Date: 03/24/2008
  • Last Update Date: 03/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204960867
  • Enrollment ID: I20150824000203

Medical Identifiers

Medical identifiers for Dr Ji-weon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952573511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 2010009848 (Missouri)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036137671 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Lake Forest HospitalLake forest, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143255

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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 Ji-weon Park allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541

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Entity NameUniversity Pathologists, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003890534
PECOS PAC ID: 6305839192
Enrollment ID: O20040407000215

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Entity NamePathology Associates Of Aurora Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427370956
PECOS PAC ID: 9638364011
Enrollment ID: O20101110001473

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Entity NameUniversity Pathology Diagnostics Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275088130
PECOS PAC ID: 1052692464
Enrollment ID: O20161223000300

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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 Ji-weon 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 Ji-weon Park, MD
1000 N Westmoreland Rd # Ll0519,
Lake Forest, IL 60045-1658

Ph: (847) 535-6218
Dr Ji-weon Park, MD
1000 N Westmoreland Rd # Ll0519,
Lake Forest, IL 60045-1658

Ph: (847) 535-6218

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Pathology Doctors in Lake Forest, IL

Dr. John Chongwon Lee, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-535-6217    
Michael P Viglione, MD PHD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045
Phone: 847-234-0049    Fax: 847-234-1946
Ricardo S Cajulis, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045
Phone: 847-234-0049    Fax: 847-234-1946
Richard J Clatch, MD PHD
Pathology
Medicare: Medicare Enrolled
Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045
Phone: 847-234-0049    Fax: 847-234-1946
Cherise Meyerson,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045
Phone: 847-535-6218    Fax: 847-535-6237
Dr. Manuel Raul Montez, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045
Phone: 847-337-4752    
Dr. Amalia B Digan, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045
Phone: 847-234-0049    

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