Janice Haesun Park, MD - Medicare Obstetrics & Gynecology in Tualatin, OR

Janice Haesun Park, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tualatin, Oregon. Her current practice location is 19250 Sw 65th Ave Ste 300, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 692-1242.

Janice Haesun Park is licensed to practice in Oregon (license number MD214718) 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 1295398840.

Contact Information

Janice Haesun Park, MD
19250 Sw 65th Ave Ste 300,
Tualatin, OR 97062-7707
(503) 692-1242
(503) 691-3615



Physician's Profile

Full NameJanice Haesun Park
GenderFemale
SpecialityObstetrics & Gynecology
Location19250 Sw 65th Ave Ste 300, Tualatin, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295398840
  • Provider Enumeration Date: 04/19/2019
  • Last Update Date: 08/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709111396
  • Enrollment ID: I20230912002500

Medical Identifiers

Medical identifiers for Janice Haesun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295398840NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD214718 (Oregon)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. Janice Haesun Park allows following entities to bill medicare on her behalf.
Entity NameWomens Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346296142
PECOS PAC ID: 8527054014
Enrollment ID: O20040421000823

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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. Janice Haesun 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
Janice Haesun Park, MD
7650 Sw Beveland Rd Ste 200,
Portland, OR 97223-8692

Ph: (503) 601-3615
Janice Haesun Park, MD
19250 Sw 65th Ave Ste 300,
Tualatin, OR 97062-7707

Ph: (503) 692-1242

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Obstetrics & Gynecology Doctors in Tualatin, OR

Gary A Burgoine, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615
Dr. Lori Lea Goranson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave, Ste 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615
Harold G Vick, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615
Dr. Kerrie Lynn Adams, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave Ste 325, Tualatin, OR 97062
Phone: 503-855-1600    Fax: 503-855-1609
Dana G Eustis, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave Ste 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615
Lisa C Pew,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062
Phone: 503-692-1242    Fax: 503-691-3615

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