Se Joong Park, DPT in Bayside, NY - Medicare Physical Therapy Provider

Se Joong Park, DPT is a medicare enrolled "Physical Therapist" provider in Bayside, New York. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physical Therapy. His current practice location is 4711 Bell Blvd, Bayside, New York. You can reach out to his office (for appointments etc.) via phone at (718) 423-5100.

Se Joong Park is licensed to practice in New York (license number 27912) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285961177.

Contact Information

	Se Joong Park, DPT
	4711 Bell Blvd, Bayside, NY 11361-3333
	(718) 423-5100
	(718) 423-5105

Map and Direction

Healthcare Provider's Profile

Full Name	Se Joong Park
Gender	Male
Speciality	Physical Therapy
Experience	13 Years
Location	4711 Bell Blvd, Bayside, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Se Joong Park graduated from medical school in 2011

NPI Data:

NPI Number: 1285961177
Provider Enumeration Date: 11/12/2009
Last Update Date: 08/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6507090974
Enrollment ID: I20131018000503

Medical Identifiers

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

Identifier	Type	State	Issuer
1285961177	NPI	-	NPPES
03865125	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27912 (New York)	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. Se Joong Park allows following entities to bill medicare on his behalf.

Provider Name	Stanley Park Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093141533 PECOS PAC ID: 8527299254 Enrollment ID: O20140324000348

Provider Name	Joanne Lee Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538576236 PECOS PAC ID: 2466774484 Enrollment ID: O20141202002166

Provider Name	Ny Core Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1497313274 PECOS PAC ID: 6204161847 Enrollment ID: O20190718000921

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. Se Joong 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
Se Joong Park, DPT 4711 Bell Blvd, Bayside, NY 11361-3333 Ph: (718) 423-5100	Se Joong Park, DPT 4711 Bell Blvd, Bayside, NY 11361-3333 Ph: (718) 423-5100

Reviews and Comments

Physical Therapist in Bayside, NY

Adaptive Movement Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4221 Francis Lewis Blvd # Ll107, Bayside, NY 11361 Phone: 516-849-5208
Lindsay Grobman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1462 212th St, Bayside, NY 11360 Phone: 917-579-7542
Ms. Kathleen Helen Schuppert, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2901 216th St, Bayside, NY 11360 Phone: 718-281-8522 Fax: 718-281-8523
Chih Huang, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3629 Bell Blvd Lowr Level, Bayside, NY 11361 Phone: 929-220-8300
Mr. Todd Roberto, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 22121 Corbett Rd, Bayside, NY 11361 Phone: 718-225-8667
Mr. Leonardo D'onofrio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22215 Northern Blvd, Suite Llc, Bayside, NY 11361 Phone: 718-225-7500 Fax: 715-225-7555
Zhi Jing Huang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3629 Bell Blvd Lowr Level, Bayside, NY 11361 Phone: 929-220-8300

Se Joong Park, DPT - Medicare Physical Therapist in Bayside, NY