Eugene Park, LAC, PA-C is a medicare enrolled "Physician Assistant" provider in Fort Lee, New Jersey. His current practice location is
458 West St, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 474-7700.
Eugene Park is licensed to practice in New York (license number 025055) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154472546.
Healthcare Provider's Profile
| Full Name | Eugene Park |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 458 West St, Fort Lee, New Jersey |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1154472546
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830312933
- Enrollment ID: I20140517000183
Medical Identifiers
Medical identifiers for Eugene Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154472546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 7437 (New York) | Secondary |
| 171100000X | Acupuncturist | AC8570 (California) | Secondary |
| 171100000X | Acupuncturist | 25MZ00169700 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 25MP00577600 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | PA18721 (California) | Secondary |
| 363A00000X | Physician Assistant | 025055 (New York) | Primary |
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. Eugene 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 Address | Practice Location Address |
|---|
Eugene Park, LAC, PA-C
24a E Edsall Blvd,
Palisades Park, NJ 07650-3626
Ph: (323) 304-4832 | Eugene Park, LAC, PA-C
458 West St,
Fort Lee, NJ 07024-3408
Ph: (201) 474-7700 |
Reviews and Comments