Song Anthimus Park, OD in Fort Sam Houston, TX - Medicare Optometrist Provider

Song Anthimus Park, OD is a medicare enrolled "Optometrist" provider in Fort Sam Houston, Texas. His current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 387-2266.

Song Anthimus Park is licensed to practice in Texas (license number 8681) 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 1902288434.

Contact Information

	Song Anthimus Park, OD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 387-2266
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Song Anthimus Park
Gender	Male
Speciality	Optometrist
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902288434
Provider Enumeration Date: 06/20/2015
Last Update Date: 05/24/2024

Medicare PECOS Information:

PECOS PAC ID: 3779886916
Enrollment ID: I20161207002247

Medical Identifiers

Medical identifiers for Song Anthimus Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902288434	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	8681 (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. Song Anthimus Park allows following entities to bill medicare on his behalf.

Provider Name	Maribel Garcia Riley Od Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194946624 PECOS PAC ID: 4688821879 Enrollment ID: O20120822000747

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. Song Anthimus 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
Song Anthimus Park, OD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 387-2266	Song Anthimus Park, OD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 387-2266

Reviews and Comments

Optometrist in Fort Sam Houston, TX

Dr. Eric Ryan Spotts, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Drive, Brooke Army Medical Center: Mche-qd/ Credentials:, Fort Sam Houston, TX 78234 Phone: 210-916-1406
Dr. Markitta Barnett & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2490 7th St, Bldg 372, Fort Sam Houston, TX 78234 Phone: 210-223-1104 Fax: 360-935-8560
Dr. Amelia Rafael, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Mathews & Mathews Opt Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2490 7th St, Bldg 372, Fort Sam Houston, TX 78234 Phone: 210-223-1104 Fax: 210-223-3810
Dr. Christopher Sanchez Alferez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-295-4355
Dr. Kayla Snipes Vickers, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Matthew Christian Geiman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-5026

Song Anthimus Park, OD - Medicare Optometrist in Fort Sam Houston, TX