Dr Soo Woong Park, MD in Fairfax, VA - Medicare Internal Medicine

Dr Soo Woong Park, MD is a medicare enrolled "Internal Medicine" physician in Fairfax, Virginia. His current practice location is 10680 Main St, Ste 130, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 273-6802.

Dr Soo Woong Park is licensed to practice in Virginia (license number 0101029694) 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 1205833910.

Contact Information

	Dr Soo Woong Park, MD
	10680 Main St, Ste 130, Fairfax, VA 22030-3811
	(703) 273-6802
	(703) 273-3960

Map and Direction

Physician's Profile

Full Name	Dr Soo Woong Park
Gender	Male
Speciality	Internal Medicine
Location	10680 Main St, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205833910
Provider Enumeration Date: 07/07/2005
Last Update Date: 11/13/2009

Medicare PECOS Information:

PECOS PAC ID: 5193867356
Enrollment ID: I20100126000647

Medical Identifiers

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

Identifier	Type	State	Issuer
1205833910	NPI	-	NPPES
6075550	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101029694 (Virginia)	Primary

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 Soo Woong 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 Soo Woong Park, MD 10680 Main St, Ste 130, Fairfax, VA 22030-3811 Ph: (703) 273-6802	Dr Soo Woong Park, MD 10680 Main St, Ste 130, Fairfax, VA 22030-3811 Ph: (703) 273-6802

Reviews and Comments

Internal Medicine Doctors in Fairfax, VA

Shivangi Vachhani, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3700 Joseph Siewick Dr Ste 408a, Fairfax, VA 22033 Phone: 877-511-4625 Fax: 703-204-9006
Dr. Raymund S Cuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-0241
Dr. Michael Maitland, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8081 Innovation Park Dr, Fairfax, VA 22031 Phone: 571-472-4724 Fax: 571-472-1601
Aswani Kumar Suthrave, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3600
Nader H Balba, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3028 Javier Rd Ste 500, Fairfax, VA 22031 Phone: 703-698-8960 Fax: 571-494-5794
Rona Harthill Earle, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct Ste B102, Fairfax, VA 22031 Phone: 703-573-4072 Fax: 703-572-2153
Renee Elizabeth Funches, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12255 Fair Lakes Pkwy, Kaiser Permanente Fair Oaks Medical Center, Fairfax, VA 22033 Phone: 703-934-5700

Dr Soo Woong Park, MD - Medicare Internal Medicine in Fairfax, VA