Ivan Young Park, APRN - Medicare Nurse Practitioner in Austin, TX

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Ivan Young Park, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Austin, Texas. His current practice location is 1208 W 38th St, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 324-1000.

Ivan Young Park is licensed to practice in Texas (license number AP1072471) 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 1154076099.

Contact Information

Ivan Young Park, APRN
1208 W 38th St,
Austin, TX 78705-1006
(512) 324-1000
Not Available

Map and Direction




Provider's Profile

Full NameIvan Young Park
GenderMale
SpecialityNurse Practitioner - Acute Care
Location1208 W 38th St, Austin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154076099
  • Provider Enumeration Date: 02/18/2022
  • Last Update Date: 03/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345635439
  • Enrollment ID: I20220329000262

Medical Identifiers

Medical identifiers for Ivan Young Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154076099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP1072471 (Texas)Primary

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. Ivan Young Park allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameHospitalist Medicine Physicians Of Texas - Round Rock, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457997199
PECOS PAC ID: 4082040910
Enrollment ID: O20200212001055
Entity NameHospitalist Medicine Physicians Of Texas - San Antonio Ii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356987093
PECOS PAC ID: 1557798279
Enrollment ID: O20200219000239
Entity NameHospitalist Medicine Physicians Of Texas - Tcs Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285270488
PECOS PAC ID: 5597192708
Enrollment ID: O20201202000264

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. Ivan Young 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 AddressPractice Location Address
Ivan Young Park, APRN
9811 Oak Run Dr,
Austin, TX 78758-5545

Ph: (512) 598-5840		Ivan Young Park, APRN
1208 W 38th St,
Austin, TX 78705-1006

Ph: (512) 324-1000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.