Dr Kyu-sik Park, MD in South Bend, IN - Medicare Anesthesiology

Dr Kyu-sik Park, MD is a medicare enrolled "Anesthesiology" physician in South Bend, Indiana. He went to Indiana University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Southeast Missouri Hospital Physicians Llc and his current practice location is 416 E Monroe St Ste 200, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 232-8119.

Dr Kyu-sik Park is licensed to practice in Kentucky (license number IP922) 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 1952443202.

Contact Information

	Dr Kyu-sik Park, MD
	416 E Monroe St Ste 200, South Bend, IN 46601-2360
	(574) 232-8119
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kyu-sik Park
Gender	Male
Speciality	Anesthesiology
Experience	19 Years
Location	416 E Monroe St Ste 200, South Bend, Indiana
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 Kyu-sik Park attended and graduated from Indiana University School Of Medicine in 2005

NPI Data:

NPI Number: 1952443202
Provider Enumeration Date: 02/13/2007
Last Update Date: 12/08/2011

Medicare PECOS Information:

PECOS PAC ID: 9931252905
Enrollment ID: I20120309000203

Medical Identifiers

Medical identifiers for Dr Kyu-sik Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952443202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	IP922 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeasthealth	Cape girardeau, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Missouri Hospital Physicians Llc	9133024334	185

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 Kyu-sik Park allows following entities to bill medicare on his behalf.

Entity Name	Southeast Missouri Hospital Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775

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 Kyu-sik 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 Kyu-sik Park, MD 54047 Maple Lane Ave, South Bend, IN 46635-1620 Ph: (219) 789-5920	Dr Kyu-sik Park, MD 416 E Monroe St Ste 200, South Bend, IN 46601-2360 Ph: (574) 232-8119

Reviews and Comments

Anesthesiology Doctors in South Bend, IN

Dr. Fahimulla Z Shariff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Bryan R Wipperman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Ike Van Trinh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Shane Michael Ditty, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Ste. 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Dr. Ryan R. Sorrell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Daniel M Cooke, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 416 E Monroe St, Suite 200, South Bend, IN 46601 Phone: 574-232-8119 Fax: 574-288-0235
Theresa R. Cruthird, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125

Dr Kyu-sik Park, MD - Medicare Anesthesiology in South Bend, IN