Jae Hyung Park, - Medicare Interventional Pain Management in Prescott, AZ

Jae Hyung Park, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Prescott, Arizona. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice The Pain Center Of Arizona, Pc and his current practice location is 3110 Clearwater Dr Ste B, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 516-8252.

Jae Hyung Park is licensed to practice in Arizona (license number 59983) 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 1255727889.

Contact Information

Jae Hyung Park,
3110 Clearwater Dr Ste B,
Prescott, AZ 86305-7177
(623) 516-8252
(623) 516-8253



Physician's Profile

Full NameJae Hyung Park
GenderMale
SpecialityInterventional Pain Management
Experience9 Years
Location3110 Clearwater Dr Ste B, Prescott, Arizona
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:
  • Jae Hyung Park graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1255727889
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 08/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214210517
  • Enrollment ID: I20200812000440

Medical Identifiers

Medical identifiers for Jae Hyung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255727889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208VP0014XPain Medicine - Interventional Pain Medicine 59983 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yavapai Regional Medical CenterPrescott, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Pain Center Of Arizona, Pc074918332528

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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. Jae Hyung Park allows following entities to bill medicare on his behalf.
Entity NameThe Pain Center Of Arizona, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871650739
PECOS PAC ID: 0749183325
Enrollment ID: O20040130000365

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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. Jae Hyung 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
Jae Hyung Park,
5281 N 99th Ave Ste 100,
Glendale, AZ 85305-2209

Ph: (623) 516-8252
Jae Hyung Park,
3110 Clearwater Dr Ste B,
Prescott, AZ 86305-7177

Ph: (623) 516-8252

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Pain Medicine Doctors in Prescott, AZ


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