Dr Yong Park, MD is a
Emergency Medicine physician based in Jasper, Florida. Dr Yong Park is licensed to practice in Florida (license number LL528) and his current practice location is 506 4th St Nw, Jasper, Florida. He can be reached at his office (for appointments etc.) via phone at
(386) 792-7200.
NPI number for Dr Yong Park is 1205913761 and his current mailing address is 506 4th St Nw, Jasper, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205913761.
Physician's Profile
Full Name | Dr Yong Park |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 506 4th St Nw, Jasper, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205913761
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 01/03/2008
Medical Identifiers
Medical identifiers for Dr Yong Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205913761 | NPI | - | NPPES |
LL528 | Other | FL | MEDICAL LICENSE |
82060 | Other | FL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | LL528 (Florida) | Primary |
207Q00000X | Family Medicine | LL528 (Florida) | Secondary |
208D00000X | General Practice | LL528 (Florida) | Secondary |
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 Yong Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Yong Park, MD 506 4th St Nw, Jasper, FL 32052-6603 Ph: (386) 792-7200 | Dr Yong Park, MD 506 4th St Nw, Jasper, FL 32052-6603 Ph: (386) 792-7200 |
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