Mrs Eun Joo Park, MD - Medicare Internal Medicine in South Bend, IN

Mrs Eun Joo Park, MD is a medicare enrolled "Internal Medicine" physician in South Bend, Indiana. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Beacon Medical Group Inc, Mvhe Inc and her current practice location is 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-3050.

Mrs Eun Joo Park is licensed to practice in Indiana (license number 01080678A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447563366.

Contact Information

Mrs Eun Joo Park, MD
615 N Michigan St 1st Fl Hospitalist Ste,
South Bend, IN 46601-1033
(574) 647-3050
(574) 647-1094



Physician's Profile

Full NameMrs Eun Joo Park
GenderFemale
SpecialityInternal Medicine
Experience28 Years
Location615 N Michigan St 1st Fl Hospitalist Ste, South Bend, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Eun Joo Park graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1447563366
  • Provider Enumeration Date: 07/20/2010
  • Last Update Date: 05/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244542835
  • Enrollment ID: I20180815001854

Medical Identifiers

Medical identifiers for Mrs Eun Joo Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447563366NPI-NPPES
300017649MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RR0500XInternal Medicine - Rheumatology 01080678A (Indiana)Secondary
208M00000XHospitalist 01080678A (Indiana)Secondary
207R00000XInternal Medicine 01080678A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hospital Of South BendSouth bend, INHospital
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306452
Mvhe Inc9537066584356

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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. Mrs Eun Joo Park allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

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Entity NameDeaconess Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427097443
PECOS PAC ID: 9032021431
Enrollment ID: O20040115000129

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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. Mrs Eun Joo 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
Mrs Eun Joo Park, MD
3245 Health Dr Ste 100,
Granger, IN 46530-1380

Ph: () -
Mrs Eun Joo Park, MD
615 N Michigan St 1st Fl Hospitalist Ste,
South Bend, IN 46601-1033

Ph: (574) 647-3050

News Archive

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Syndax Pharmaceuticals, Inc., a late-stage oncology company focused on the clinical development of epigenetic therapies in solid tumors, announced that previously reported results from ENCORE 401, a randomized, placebo controlled Phase 2 study of erlotinib with or without entinostat in advanced non-small cell lung cancer patients were published in the Journal of Clinical Oncology (JCO).

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Internal Medicine Doctors in South Bend, IN

Mayank Kumar Mittal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601
Phone: 574-647-8120    Fax: 574-647-8111
Dr. Steven P. Crowell, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9340    Fax: 574-239-1474
Muhammad Shakil Aslam, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 610 N Michigan St Ste 400, South Bend, IN 46601
Phone: 574-647-8120    Fax: 574-647-8111
Monika Niemiec, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Michigan St, 1st Fl Hospitalist Ste, South Bend, IN 46601
Phone: 574-647-3050    Fax: 574-647-1094
Dr. Travis Weaver, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1815 E Ireland Rd, South Bend, IN 46614
Phone: 574-647-1700    Fax: 574-647-7572
Dr. Thomas P Barbour, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-237-9340    Fax: 574-239-1474
Dr. Ahmed A Abdel-latief, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St, South Bend, IN 46617
Phone: 574-239-1433    Fax: 574-239-1438

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