Minyoung Park, PA-C is a medicare enrolled "Physician Assistant" physician in Clackamas, Oregon. Her current practice location is
10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 659-0880.
Minyoung Park is licensed to practice in Oregon (license number PA214629) 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 1831803568.
Physician's Profile
Full Name | Minyoung Park |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831803568
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991169492
- Enrollment ID: I20230918001676
Medical Identifiers
Medical identifiers for Minyoung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831803568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1180781 (Virginia) | Secondary |
363A00000X | Physician Assistant | PA214629 (Oregon) | 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. Minyoung 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 |
Minyoung Park, PA-C 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: () - | Minyoung Park, PA-C 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880 |
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