Roger Timothy Park, DO - Medicare Family Practice in Hyde Park, UT

Roger Timothy Park, DO is a medicare enrolled "Family Medicine" physician in Hyde Park, Utah. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 4088 Us-91, Hyde Park, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 563-4900.

Roger Timothy Park is licensed to practice in Utah (license number 8647453-1204) 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 1295713444.

Contact Information

Roger Timothy Park, DO
4088 Us-91,
Hyde Park, UT 84318
(435) 563-4900
Not Available



Physician's Profile

Full NameRoger Timothy Park
GenderMale
SpecialityFamily Practice
Experience19 Years
Location4088 Us-91, Hyde Park, Utah
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:
  • Roger Timothy Park attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2005
  NPI Data:
  • NPI Number: 1295713444
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 05/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7618164278
  • Enrollment ID: I20130819000094

Medical Identifiers

Medical identifiers for Roger Timothy Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295713444NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 8647453-1204 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Roger Timothy Park allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Roger Timothy 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
Roger Timothy Park, DO
4088 Us-91,
Hyde Park, UT 84318

Ph: (435) 563-4900
Roger Timothy Park, DO
4088 Us-91,
Hyde Park, UT 84318

Ph: (435) 563-4900

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Family Medicine Doctors in Hyde Park, UT

Casey Mckay Green, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4088 N Highway 91, Hyde Park, UT 84318
Phone: 435-563-4888    Fax: 435-563-4832
Jonathan Terry Jenkins, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4088 N Highway 91, Hyde Park, UT 84318
Phone: 435-563-4888    
Jason Harper,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4088 N Highway 91, Hyde Park, UT 84318
Phone: 435-563-4900    Fax: 435-563-4952

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