Dr Tricia L Park, PHD in Endicott, NY - Medicare Psychologist Provider

Dr Tricia L Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Endicott, New York. Her current practice location is 202 E Main St, Endicott, New York. You can reach out to her office (for appointments etc.) via phone at (607) 754-2660.

Dr Tricia L Park is licensed to practice in New York (license number 015109-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548297724.

Contact Information

	Dr Tricia L Park, PHD
	202 E Main St, Endicott, NY 13760-4817
	(607) 754-2660
	(607) 754-2660

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tricia L Park
Gender	Female
Speciality	Psychologist - Clinical
Location	202 E Main St, Endicott, 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: 1548297724
Provider Enumeration Date: 06/26/2006
Last Update Date: 11/04/2009

Medicare PECOS Information:

PECOS PAC ID: 4082756622
Enrollment ID: I20100121000007

Medical Identifiers

Medical identifiers for Dr Tricia L Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548297724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	015109-1 (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. Dr Tricia L Park allows following entities to bill medicare on her behalf.

Entity Name	Hospitalist Healthcare Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275962011 PECOS PAC ID: 1557599313 Enrollment ID: O20140124001195

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. Dr Tricia L 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
Dr Tricia L Park, PHD 202 E Main St, Endicott, NY 13760-4817 Ph: (607) 754-2660	Dr Tricia L Park, PHD 202 E Main St, Endicott, NY 13760-4817 Ph: (607) 754-2660

Reviews and Comments

Psychologist in Endicott, NY

Dr. Andrea Chapman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Marshall Dr, Endicott, NY 13760 Phone: 607-785-0400 Fax: 607-785-0077
Dr. Michael Bruce Lister, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 423 E Main St, #2, Endicott, NY 13760 Phone: 607-754-1101 Fax: 607-754-1107
Kimberly Lieber-diaz, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1237 Domenica Dr, Endicott, NY 13760 Phone: 570-335-3465
Dr. Greta L. Myers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 715 Paden St, Endicott, NY 13760 Phone: 607-757-2854
Dr. Jennifer S. Berryman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Marshall Dr, Endicott, NY 13760 Phone: 315-378-8973 Fax: 607-785-0400
Dr. Vincent James Monastra, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Marshall Dr, Endicott, NY 13760 Phone: 607-785-0400 Fax: 607-785-0077

Dr Tricia L Park, PHD - Medicare Psychologist in Endicott, NY