Seoung Sou Park, MD in Mount Vernon, NY - Medicare Internal Medicine

Seoung Sou Park, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Mount Vernon, New York. His current practice location is 105 Stevens Avenue, Suite 310, Mount Vernon, New York. You can reach out to his office (for appointments etc.) via phone at (914) 663-6635.

Seoung Sou Park is licensed to practice in New York (license number 197192) 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 1902948193.

Contact Information

	Seoung Sou Park, MD
	105 Stevens Avenue, Suite 310, Mount Vernon, NY 10550-2686
	(914) 663-6635
	(914) 663-6637

Map and Direction

Physician's Profile

Full Name	Seoung Sou Park
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	105 Stevens Avenue, Mount Vernon, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902948193
Provider Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3870681588
Enrollment ID: I20071114000095

Medical Identifiers

Medical identifiers for Seoung Sou Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902948193	NPI	-	NPPES
P1229667	Other		OXFORD HEALTH PLAN
21N461	Other	NY	EMPIRE BCBS
7464117	Other		AETNA
01729675	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	197192 (New York)	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. Seoung Sou 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
Seoung Sou Park, MD 105 Stevens Avenue, Suite 310, Mount Vernon, NY 10550-2686 Ph: (914) 663-6635	Seoung Sou Park, MD 105 Stevens Avenue, Suite 310, Mount Vernon, NY 10550-2686 Ph: (914) 663-6635

Reviews and Comments

Internal Medicine Doctors in Mount Vernon, NY

Ms. Deepthi Sara Sony, MD Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 107 W 4th St, Administration, Mount Vernon, NY 10550 Phone: 914-699-7200 Fax: 914-699-0837
Asim Shahid, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 105 Stevens Ave Ste 306, Mount Vernon, NY 10550 Phone: 914-863-0056
Dariush Alaie, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000
Susan M Santry, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 127e Lincoln Ave, Mount Vernon, NY 10552 Phone: 203-249-6767 Fax: 203-531-1901
Dr. Muhammad Irfan Qadir, M.D. Endocrinology, Diabetes & Metabolism Medicare: May Accept Medicare Assignments Practice Location: 514 Gramatan Ave, Suite P3, Mount Vernon, NY 10552 Phone: 845-627-6114 Fax: 845-627-8404
Dr. Shamima Chowdhury, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 107 West 4th Street, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550 Phone: 914-699-7200 Fax: 914-699-0837
Dr. Leslie Dawn Julien, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 12 N 7th Ave, Mount Vernon, NY 10550 Phone: 914-664-8000 Fax: 914-664-8015

Seoung Sou Park, MD - Medicare Internal Medicine in Mount Vernon, NY