npidexNPI registry + Medicare data

JENNIFER PARK, MD

Psychiatry Physician · CONCORD, MA

Individual Active Opted out of Medicare NPI 1063402147

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychiatry Physician2084P0800X✓0101248210VA
Psychiatry Physician2084P0800X210049MA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Psychiatry), effective 2016-01-02 through 2028-01-02.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.