KYUNG MOOK PARK DDS - NPI 1013283613 - Dentist in Abilene, TX

Q: What is Kyung Park's NPI number?

The NPI number for Kyung Park is 1013283613. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Kyung Park's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kyung Park was last updated on June 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kyung Mook Park Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYUNG MOOK PARK DDS (NPI 1013283613) is an individual general practice provider in Abilene, Texas, licensed in Texas (27715) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013283613

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKYUNG MOOK PARKCredential: DDS

Location Address1034 N WILLIS STAbilene, TX 79603-4622

Mailing Address1034 N Willis StAbilene, TX 79603-4622 · (325) 673-8164 · Fax (325) 673-0812

Phone(325) 673-8164

Fax(325) 673-0812

Sole ProprietorNo

Enumeration DateMarch 28, 2012

Last NPPES UpdateJune 27, 2016

✔ NPI 1013283613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 27715

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1034 N WILLIS ST, Abilene, TX 79603

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyung Mook Park Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MACKENZIE J JONES DMD

Dentist