Hyo Soon Park, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tenafly, New Jersey. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tenafly Psychiatric Associates Llc and her current practice location is
2 Dean Dr Fl 1, Tenafly, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 568-8288.
Hyo Soon Park is licensed to practice in New Jersey (license number 26NJ00939200) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346894482.
Provider's Profile
| Full Name | Hyo Soon Park |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 2 Dean Dr Fl 1, Tenafly, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Hyo Soon Park graduated from nursing school in 2018
NPI Data:
- NPI Number: 1346894482
- Provider Enumeration Date: 07/26/2019
- Last Update Date: 08/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577891134
- Enrollment ID: I20190821002070
Medical Identifiers
Medical identifiers for Hyo Soon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346894482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00939200 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tenafly Psychiatric Associates Llc | 1759345614 | 8 |
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. Hyo Soon Park allows following entities to bill medicare on her behalf.
| Entity Name | Tenafly Psychiatric Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821063835
PECOS PAC ID: 1759345614
Enrollment ID: O20080923000505 |
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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. Hyo Soon 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 |
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Hyo Soon Park, PMHNP
15 Forest St,
Closter, NJ 07624-1002
Ph: (201) 916-5485 | Hyo Soon Park, PMHNP
2 Dean Dr Fl 1,
Tenafly, NJ 07670-2765
Ph: (201) 568-8288 |
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