Dr Malsuk Park, DO - Medicare Emergency Medicine in Johnson City, NY

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Dr Malsuk Park, DO is a medicare enrolled "Emergency Medicine" physician in Johnson City, New York. Her current practice location is 33-57 Harrison St, Johnson City, New York. You can reach out to her office (for appointments etc.) via phone at (607) 763-6412.

Dr Malsuk Park is licensed to practice in New York (license number 209345) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902890759.

Contact Information

Dr Malsuk Park, DO
33-57 Harrison St,
Johnson City, NY 13790-2107
(607) 763-6412
(607) 763-5854

Map and Direction




Physician's Profile

Full NameDr Malsuk Park
GenderFemale
SpecialityEmergency Medicine
Location33-57 Harrison St, Johnson City, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902890759
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 08/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5799711784
  • Enrollment ID: I20050712000065

Medical Identifiers

Medical identifiers for Dr Malsuk Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902890759NPI-NPPES
8094501MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 25MB06993400 (New Jersey)Secondary
207P00000XEmergency Medicine 209345 (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. Dr Malsuk Park allows following entities to bill medicare on her behalf.
Entity NameEmergency Physician Associates Of North Jersey P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497783419
PECOS PAC ID: 7911992326
Enrollment ID: O20040825001558

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 Malsuk 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 AddressPractice Location Address
Dr Malsuk Park, DO
346 Grand Ave,
Johnson City, NY 13790-2580

Ph: (607) 763-6412		Dr Malsuk Park, DO
33-57 Harrison St,
Johnson City, NY 13790-2107

Ph: (607) 763-6412

Reviews and Comments


Emergency Medicine Doctors in Johnson City, NY

John Peter Zevan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6611    Fax: 607-763-6411
Dr. Shae Lynn Bolander, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Theodore M Petkov, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Abdullah Faiq, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Teresa A Sacco-bedosky, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6622    Fax: 607-763-5854
Mustafa Ali Khan, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Michael Shannon Hennessey, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.