Ms Jiwon Park, DPT, LAC is a medicare enrolled "Specialist" provider in Spring Valley, New York. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
1 Perlman Dr, Spring Valley, Spring Valley, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 517-3330.
Ms Jiwon Park is licensed to practice in New York (license number 021333) 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 1437280161.
Healthcare Provider's Profile
| Full Name | Ms Jiwon Park |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 26 Years |
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| Location | 1 Perlman Dr, Spring Valley, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Jiwon Park graduated from medical school in 1998
NPI Data:
- NPI Number: 1437280161
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 06/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 4082697602
- Enrollment ID: I20040612000241
Medical Identifiers
Medical identifiers for Ms Jiwon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437280161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 002753 (New York) | Secondary |
| 174400000X | Specialist | 021333 (New York) | Primary |
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. Ms Jiwon Park allows following entities to bill medicare on her behalf.
| Provider Name | Core Care Physical Therapy And Acupuncture, Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1730213984
PECOS PAC ID: 0042388522
Enrollment ID: O20081010000307 |
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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. Ms Jiwon 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 |
|---|
Ms Jiwon Park, DPT, LAC
1 Perlman Dr, Spring Valley,
Spring Valley, NY 10977-5281
Ph: (845) 517-3330 | Ms Jiwon Park, DPT, LAC
1 Perlman Dr, Spring Valley,
Spring Valley, NY 10977-5281
Ph: (845) 517-3330 |
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