Mr Jeffrey M Park, PA-C in Buffalo, NY - Medicare Physician Assistant

Mr Jeffrey M Park, PA-C is a medicare enrolled "Physician Assistant" in Buffalo, New York. His current practice location is 701 Seneca St Ste 646c, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 995-4450.

Mr Jeffrey M Park is licensed to practice in New York (license number 007902) 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 1376581561.

Contact Information

	Mr Jeffrey M Park, PA-C
	701 Seneca St Ste 646c, Buffalo, NY 14210-1351
	(716) 995-4450
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jeffrey M Park
Gender	Male
Speciality	Physician Assistant
Location	701 Seneca St Ste 646c, Buffalo, 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: 1376581561
Provider Enumeration Date: 06/02/2006
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 2668442559
Enrollment ID: I20040728000954

Medical Identifiers

Medical identifiers for Mr Jeffrey M Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376581561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	007902 (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. Mr Jeffrey M 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
Mr Jeffrey M Park, PA-C 100 High St, Dept. Of Emergency Medicine, Buffalo, NY 14203-1126 Ph: (716) 859-1993	Mr Jeffrey M Park, PA-C 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 Ph: (716) 995-4450

Reviews and Comments

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Mr Jeffrey M Park, PA-C - Medicare Physician Assistant in Buffalo, NY