Anthony K Park, MD in New York, NY - Medicare Family Medicine

Anthony K Park, MD is a medicare enrolled "Family Medicine" physician in New York, New York. His current practice location is 64 Bleecker St # 151, New York, New York. You can reach out to his office (for appointments etc.) via phone at (917) 810-3965.

Anthony K Park is licensed to practice in California (license number A70693) 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 1336227438.

Contact Information

	Anthony K Park, MD
	64 Bleecker St # 151, New York, NY 10012-2410
	(917) 810-3965
	Not Available

Map and Direction

Physician's Profile

Full Name	Anthony K Park
Gender	Male
Speciality	Family Medicine
Location	64 Bleecker St # 151, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336227438
Provider Enumeration Date: 11/02/2006
Last Update Date: 04/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0042492894
Enrollment ID: I20110315000819

Medical Identifiers

Medical identifiers for Anthony K Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336227438	NPI	-	NPPES
00A706930	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A70693 (California)	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. Anthony K Park allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Anthony K 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
Anthony K Park, MD 64 Bleecker St # 151, New York, NY 10012-2410 Ph: (917) 810-3965	Anthony K Park, MD 64 Bleecker St # 151, New York, NY 10012-2410 Ph: (917) 810-3965

Reviews and Comments

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Anthony K Park, MD - Medicare Family Medicine in New York, NY