Dr Kevin U Park, MD - Medicare Orthopedic Surgery in Fayetteville, GA

Dr Kevin U Park, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fayetteville, Georgia. He went to Tulane University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Piedmont Orthopedics, Llc and his current practice location is 1265 Highway 54 W, Suites 102 And 308, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 460-1900.

Dr Kevin U Park is licensed to practice in Georgia (license number 74050) 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 1356579627.

Contact Information

Dr Kevin U Park, MD
1265 Highway 54 W, Suites 102 And 308,
Fayetteville, GA 30214-4548
(770) 460-1900
(770) 719-1214



Physician's Profile

Full NameDr Kevin U Park
GenderMale
SpecialityOrthopedic Surgery
Experience15 Years
Location1265 Highway 54 W, Fayetteville, Georgia
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 Kevin U Park attended and graduated from Tulane University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1356579627
  • Provider Enumeration Date: 06/25/2009
  • Last Update Date: 08/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537386024
  • Enrollment ID: I20151020000082

Medical Identifiers

Medical identifiers for Dr Kevin U Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356579627NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine 074050 (Georgia)Secondary
207X00000XOrthopaedic Surgery 74050 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Fayette HospitalFayetteville, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Orthopedics, Llc4385963172149

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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 Kevin U Park allows following entities to bill medicare on his behalf.
Entity NameOrthoatlanta, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851937114
PECOS PAC ID: 3971406885
Enrollment ID: O20040129000005

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Entity NamePiedmont Orthopedics, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114317062
PECOS PAC ID: 4385963172
Enrollment ID: O20150429000361

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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 Kevin U 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 Kevin U Park, MD
900 Circle 75 Sepkwy 1700,
Atlanta, GA 30339-3087

Ph: (770) 953-6929
Dr Kevin U Park, MD
1265 Highway 54 W, Suites 102 And 308,
Fayetteville, GA 30214-4548

Ph: (770) 460-1900

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Orthopaedic Surgery Doctors in Fayetteville, GA

Dr. David A. Goodman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1336 Highway 54 W, Building 500, Fayetteville, GA 30214
Phone: 770-461-1238    Fax: 770-460-6610
Charles Theodore Fryberger Iii, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W Ste 102, Fayetteville, GA 30214
Phone: 770-460-1900    Fax: 770-719-1214
Dr. Michael R Swany, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 140 Trotters Rdg, Fayetteville, GA 30215
Phone: 678-817-7115    
Dr. Alan D Davis, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1265 Highway 54 W, Suite 102, Fayetteville, GA 30214
Phone: 770-460-1900    Fax: 770-714-1214
Dr. Scott Randall Arrowsmith, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 130 Governors Sq, Ste C, Fayetteville, GA 30215
Phone: 770-631-9991    Fax: 770-631-3663
Dr. Maurice Lamont Goins, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1336 West Highway 54, Bldg 500, Fayetteville, GA 30214
Phone: 770-461-1238    Fax: 770-460-6610

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