Jaehyun Park, in North Bergen, NJ - Medicare Physical Therapist Provider

Jaehyun Park, is a medicare enrolled "Physical Therapist" provider in North Bergen, New Jersey. His current practice location is 7400 River Rd Apt 310, North Bergen, New Jersey. You can reach out to his office (for appointments etc.) via phone at (617) 817-5979.

Jaehyun Park is licensed to practice in New York (license number 048827-01) 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 1114706082.

Contact Information

	Jaehyun Park,
	7400 River Rd Apt 310, North Bergen, NJ 07047-7228
	(617) 817-5979
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaehyun Park
Gender	Male
Speciality	Physical Therapist
Location	7400 River Rd Apt 310, North Bergen, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114706082
Provider Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7517306517
Enrollment ID: I20240423002945

Medical Identifiers

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

Identifier	Type	State	Issuer
1114706082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	048827-01 (New York)	Primary
225100000X	Physical Therapist	40QA02095200 (New Jersey)	Secondary

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. Jaehyun Park allows following entities to bill medicare on his behalf.

Provider Name	Bayside Acupuncture & Physical Therapy Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1205364239 PECOS PAC ID: 4284904426 Enrollment ID: O20170721000664

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. Jaehyun 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
Jaehyun Park, 7400 River Rd Apt 310, North Bergen, NJ 07047-7228 Ph: (617) 817-5979	Jaehyun Park, 7400 River Rd Apt 310, North Bergen, NJ 07047-7228 Ph: (617) 817-5979

Reviews and Comments

Physical Therapist in North Bergen, NJ

Lorraine Ellen Dwaileebe, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3161 Jfk Blvd West, North Bergen, NJ 07047 Phone: 201-867-3585
Dr. Jan Aborde, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9020 Wall St, North Bergen, NJ 07047 Phone: 201-861-4040
Ms. Aranka Komlos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7855 Boulevard East, Apt 29b, North Bergen, NJ 07047 Phone: 201-854-1858 Fax: 201-854-1858
Ferdinando David Forcellati, PT MA PT GDMT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9226 Kennedy Boulevard 2nd Floor, North Bergen, NJ 07047 Phone: 201-861-4447 Fax: 201-861-3330
Tawil Physical Therapy And Sports Performance, Pa Physical Therapist Medicare: Medicare Enrolled Practice Location: 8701 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-552-9072 Fax: 201-552-9073
Kirti Shetty, M.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3161 Kennedy Blvd, North Bergen, NJ 07047 Phone: 201-937-2758

Jaehyun Park, - Medicare Physical Therapist in North Bergen, NJ