Dr Koji Park, MD in New York, NY - Medicare General Surgery

Dr Koji Park, MD is a medicare enrolled "Surgery" physician in New York, New York. He went to State University Of New York Downstate Medical Center and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is 1111 Amsterdam Ave, 4w, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 636-1000.

Dr Koji Park is licensed to practice in New York (license number 276066) 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 1124343694.

Contact Information

	Dr Koji Park, MD
	1111 Amsterdam Ave, 4w, New York, NY 10025-1716
	(212) 636-1000
	(212) 523-2351

Map and Direction

Physician's Profile

Full Name	Dr Koji Park
Gender	Male
Speciality	General Surgery
Experience	17 Years
Location	1111 Amsterdam Ave, New York, New York
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 Koji Park attended and graduated from State University Of New York Downstate Medical Center in 2007

NPI Data:

NPI Number: 1124343694
Provider Enumeration Date: 03/28/2010
Last Update Date: 06/02/2015

Medicare PECOS Information:

PECOS PAC ID: 0648412213
Enrollment ID: I20141027001977

Medical Identifiers

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

Identifier	Type	State	Issuer
1124343694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	276066 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mount Sinai St Luke's Roosevelt Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Icahn School Of Medicine At Mount Sinai	2264691070	2323

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 Koji Park allows following entities to bill medicare on his behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770823551 PECOS PAC ID: 2264691070 Enrollment ID: O20131220001018

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104295716 PECOS PAC ID: 4486955267 Enrollment ID: O20151221001450

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 Koji 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 Koji Park, MD 1111 Amsterdam Ave, 4w, New York, NY 10025-1716 Ph: (212) 636-1000	Dr Koji Park, MD 1111 Amsterdam Ave, 4w, New York, NY 10025-1716 Ph: (212) 636-1000

Reviews and Comments

Surgery Doctors in New York, NY

Dr. Akili Hinson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-5454
Sunny D Mitchell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 161 Fort Washington Ave Fl 10, New York, NY 10032 Phone: 212-342-5164
Dr. Luis Gabriel Rivera Sanchez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 325 W 15th St, New York, NY 10011 Phone: 212-604-6000 Fax: 212-367-1718
Dr. Megan Elizabeth Jenkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-7300
Karen Hiotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 160 E 34th St, 4th Floor, New York, NY 10016 Phone: 212-731-5180
Jeffrey W Milsom, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 York Ave, 2nd Floor, New York, NY 10021 Phone: 212-746-6030
Dr. Lael E Forbes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9 E 62nd St Ofc 1r, New York, NY 10065 Phone: 212-837-8911

Dr Koji Park, MD - Medicare General Surgery in New York, NY