Justin Park, MD - Medicare Orthopedic Surgery in Glen Burnie, MD

Justin Park, MD is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Surgery Of The Spine" physician in Glen Burnie, Maryland. He went to Indiana University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Maryland Spine Center Chartered and his current practice location is 1600 Crain Hwy S, Suite 401, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 768-5050.

Justin Park is licensed to practice in Maryland (license number D0073546) 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 1265625941.

Contact Information

Justin Park, MD
1600 Crain Hwy S, Suite 401,
Glen Burnie, MD 21061-5577
(410) 768-5050
(410) 768-7830



Physician's Profile

Full NameJustin Park
GenderMale
SpecialityOrthopedic Surgery
Experience18 Years
Location1600 Crain Hwy S, Glen Burnie, Maryland
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:
  • Justin Park attended and graduated from Indiana University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1265625941
  • Provider Enumeration Date: 08/25/2007
  • Last Update Date: 04/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4385812759
  • Enrollment ID: I20120719000283

Medical Identifiers

Medical identifiers for Justin Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265625941NPI-NPPES
253616OtherMDJHHC
6831-0019OtherMDCAREFIRST
K007170OtherKYMEDICARE PTAN-- NORTON LEATHERMAN SPINE
231508400MedicaidMD
6029607OtherMDCIGNA
9804676OtherMDAETNA PPO
8543972OtherMDAETNA HMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine 43955 (Kentucky)Secondary
207XS0117XOrthopaedic Surgery - Orthopaedic Surgery Of The Spine D0073546 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeColumbia, MDHome health agency
Mercy Medical Center IncBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Maryland Spine Center Chartered04461426736

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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. Justin Park allows following entities to bill medicare on his behalf.
Entity NameMaryland Spine Center Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952418535
PECOS PAC ID: 0446142673
Enrollment ID: O20040325000144

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Entity NameCenters For Advanced Orthopaedics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487093167
PECOS PAC ID: 8123260981
Enrollment ID: O20130808000102

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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. Justin 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
Justin Park, MD
1600 Crain Hwy S, Suite 401,
Glen Burnie, MD 21061-5577

Ph: (410) 768-5050
Justin Park, MD
1600 Crain Hwy S, Suite 401,
Glen Burnie, MD 21061-5577

Ph: (410) 768-5050

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Orthopaedic Surgery Doctors in Glen Burnie, MD

Max Hamaker, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 200 Hospital Dr Fl 2, Glen Burnie, MD 21061
Phone: 410-768-5555    Fax: 410-768-5835
Dr. Amir R Moinfar, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1413 Madison Park Dr Fl 2, Glen Burnie, MD 21061
Phone: 410-691-3571    Fax: 410-691-3591
Dr. Bryan R Klepper, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Dr, 2nd Floor, Glen Burnie, MD 21061
Phone: 410-768-5555    Fax: 410-768-5835
Mr. Hugh O House, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Dr, 2nd Floor, Glen Burnie, MD 21061
Phone: 410-768-5555    Fax: 410-768-5835
Keona Monyette Holliday, MS, PA-C
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 255 Hospital Dr Ste 207, Glen Burnie, MD 21061
Phone: 410-553-8170    Fax: 410-553-8171
Natalie Elaine Jennifer Chilaka, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 255 Hospital Dr Ste 207, Glen Burnie, MD 21061
Phone: 410-443-8170    Fax: 410-553-8171

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