Jeanhyong Park, MD - Medicare Emergency Medicine in Charleston, SC

Jeanhyong Park, MD is a medicare enrolled "Emergency Medicine" physician in Charleston, South Carolina. His current practice location is 171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-1414.

Jeanhyong Park is licensed to practice in South Carolina (license number 86642) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558628164.

Contact Information

Jeanhyong Park, MD
171 Ashley Ave,
Charleston, SC 29425-8908
(843) 792-1414
Not Available



Physician's Profile

Full NameJeanhyong Park
GenderMale
SpecialityEmergency Medicine
Location171 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558628164
  • Provider Enumeration Date: 04/19/2012
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4183856750
  • Enrollment ID: I20150910000751

Medical Identifiers

Medical identifiers for Jeanhyong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558628164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine D0083660 (Maryland)Secondary
207P00000XEmergency Medicine 0101258039 (Virginia)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207P00000XEmergency Medicine 86642 (South Carolina)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. Jeanhyong Park allows following entities to bill medicare on his behalf.
Entity NamePatient First Maryland Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265866503
PECOS PAC ID: 4385538735
Enrollment ID: O20140108000578

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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. Jeanhyong 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
Jeanhyong Park, MD
Po Box 751461,
Charlotte, NC 28275-1461

Ph: (843) 792-6200
Jeanhyong Park, MD
171 Ashley Ave,
Charleston, SC 29425-8908

Ph: (843) 792-1414

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Emergency Medicine Doctors in Charleston, SC

Jordan James Mccarthy, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 169 Ashley Ave # Msc300, Charleston, SC 29425
Phone: 843-876-8023    
Dr. Terry Kowalenko, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Steven H Saef, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Elizabeth Barton Winton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Gary L. Rose, DNP, FNP, ENP, APRN
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Ashley Hall Rd Apt E2, Charleston, SC 29407
Phone: 843-693-8385    
Dr. Kelli Marie Young, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414
Phone: 843-402-1037    Fax: 843-402-1295
Patrick Gene Shen, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9330 Medical Center Plaza Dr, Charleston, SC 29406
Phone: 843-797-7000    

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