Dr Clinton Sangkyu Park, MD in Fort Worth, TX

Dr Clinton Sangkyu Park, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Fort Worth, Texas. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Texas Oncology Pa and his current practice location is 500 S Henderson St Ste 200, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 413-1500.

Dr Clinton Sangkyu Park is licensed to practice in Texas (license number N3228) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295932242.

Contact Information

	Dr Clinton Sangkyu Park, MD
	500 S Henderson St Ste 200, Fort Worth, TX 76104-2154
	(817) 413-1500
	(817) 413-1499

Map and Direction

Physician's Profile

Full Name	Dr Clinton Sangkyu Park
Gender	Male
Speciality	Radiation Oncology
Experience	20 Years
Location	500 S Henderson St Ste 200, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Clinton Sangkyu Park graduated from medical school in 2004

NPI Data:

NPI Number: 1295932242
Provider Enumeration Date: 07/02/2007
Last Update Date: 12/09/2021

Medicare PECOS Information:

PECOS PAC ID: 4789734641
Enrollment ID: I20090615000607

Medical Identifiers

Medical identifiers for Dr Clinton Sangkyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295932242	NPI	-	NPPES
P00764078	Other	TX	RAILROAD MEDICARE
8CA240	Other	TX	BLUECROSS BLUESHIELD OF TEXAS
202476201	Medicaid	TX
202476202	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0203X	Radiology - Therapeutic Radiology	BP10022820 (Texas)	Secondary
2085R0001X	Radiology - Radiation Oncology	N3228 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Texas Health Harris Methodist Hospital Fort Worth	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Texas Oncology Pa	5395658934	886

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. Dr Clinton Sangkyu Park allows following entities to bill medicare on his behalf.

Entity Name	Texas Oncology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323

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. Dr Clinton Sangkyu 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
Dr Clinton Sangkyu Park, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000	Dr Clinton Sangkyu Park, MD 500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 Ph: (817) 413-1500

Reviews and Comments

Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387
Dr. Robert Lewis Emery, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404

Dr Clinton Sangkyu Park, MD - Medicare Radiation Oncology in Fort Worth, TX