Hyunwook Park, is a medicare enrolled "Occupational Therapist" provider in Sunland, California. His current practice location is
8647 Fenwick St, Sunland, California. You can reach out to his office (for appointments etc.) via phone at
(818) 352-1421.
Hyunwook Park is licensed to practice in * (Not Available) (license number ) 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 1851149884.
Healthcare Provider's Profile
| Full Name | Hyunwook Park |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 8647 Fenwick St, Sunland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851149884
- Provider Enumeration Date: 05/06/2024
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193267144
- Enrollment ID: I20240606001037
Medical Identifiers
Medical identifiers for Hyunwook Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851149884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | 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. Hyunwook Park allows following entities to bill medicare on his behalf.
| Provider Name | Interface Rehab, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306960851
PECOS PAC ID: 6204736556
Enrollment ID: O20080226000768 |
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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. Hyunwook 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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Hyunwook Park,
1221 W 3rd St Apt 626,
Los Angeles, CA 90017-5196
Ph: () - | Hyunwook Park,
8647 Fenwick St,
Sunland, CA 91040-1957
Ph: (818) 352-1421 |
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