Chan Soo Park, MD in Poughkeepsie, NY - Medicare Psychiatry & Neurology

Chan Soo Park, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Poughkeepsie, New York. His current practice location is 205 South Ave, Suite 103, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (845) 454-2360.

Chan Soo Park is licensed to practice in New York (license number 127160) 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 1861485484.

Contact Information

	Chan Soo Park, MD
	205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818
	(845) 454-2360
	(845) 454-2361

Map and Direction

Physician's Profile

Full Name	Chan Soo Park
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	205 South Ave, Poughkeepsie, 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: 1861485484
Provider Enumeration Date: 08/30/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9537204417
Enrollment ID: I20100303000344

Medical Identifiers

Medical identifiers for Chan Soo Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861485484	NPI	-	NPPES
00503613	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	127160 (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. Chan Soo Park allows following entities to bill medicare on his behalf.

Entity Name	State Of New York Comptrollers Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

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. Chan Soo 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
Chan Soo Park, MD 205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818 Ph: (845) 454-2360	Chan Soo Park, MD 205 South Ave, Suite 103, Poughkeepsie, NY 12601-4818 Ph: (845) 454-2360

Reviews and Comments

Psychiatry & Neurology Doctors in Poughkeepsie, NY

Dr. Eldene Gwen Towey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601 Phone: 845-483-5000
Sadaf R Ahsan, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-483-8743 Fax: 845-485-3809
Dr. Karanjit Singh Parihar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd # A, Poughkeepsie, NY 12601 Phone: 845-483-5000
Gulnaz Kiyamova, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 914-909-9018 Fax: 914-909-9028
Dr. Thomas D Steeves, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 21 Reade Pl Ste 1100, Poughkeepsie, NY 12601 Phone: 845-214-1922
Khaled I Mohamed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 241 North Rd, Poughkeepsie, NY 12601 Phone: 845-431-8287
Arundhuti Momen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 21 Reade Pl Ste 1100, Poughkeepsie, NY 12601 Phone: 845-214-1922

Chan Soo Park, MD - Medicare Psychiatry & Neurology in Poughkeepsie, NY