Soohyun Park, PHD in Boston, MA - Medicare Psychologist Provider

Soohyun Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boston, Massachusetts. Her current practice location is 800 Washington St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 636-4852.

Soohyun Park is licensed to practice in Massachusetts (license number PSY10000002) 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 1841915592.

Contact Information

	Soohyun Park, PHD
	800 Washington St, Boston, MA 02111-1552
	(617) 636-4852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Soohyun Park
Gender	Female
Speciality	Psychologist - Clinical
Location	800 Washington St, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841915592
Provider Enumeration Date: 10/05/2022
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5991140154
Enrollment ID: I20240227002620

Medical Identifiers

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

Identifier	Type	State	Issuer
1841915592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY10000002 (Massachusetts)	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. Soohyun Park allows following entities to bill medicare on her behalf.

Entity Name	Pratt Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245270875 PECOS PAC ID: 8921999525 Enrollment ID: O20040323000956

Entity Name	Tufts Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730132515 PECOS PAC ID: 3274442223 Enrollment ID: O20050120000316

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. Soohyun 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
Soohyun Park, PHD 115 Mill Street, South Belknap Office 353, Belmont, MA 02478 Ph: () -	Soohyun Park, PHD 800 Washington St, Boston, MA 02111-1552 Ph: (617) 636-4852

Reviews and Comments

Psychologist in Boston, MA

Dr. Sharon Cohan Sung, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 185 Cambridge St, Suite 2200, 2nd Floor, Boston, MA 02114 Phone: 617-724-0666 Fax: 617-643-3080
Dr. William Arthur Winn Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 Long Wharf, Boston, MA 02110 Phone: 617-624-3340 Fax: 617-523-8197
Dr. Karen Suzanne Mitchell, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, 116b-3, Boston, MA 02130 Phone: 857-364-2149
Corey Baechel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404
Dr. Laura Richardson, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-5600
Dr. Allison E White, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 32 Fruit St Bldg Suite6a, Boston, MA 02114 Phone: 617-643-2471
Dr. Jefferson Martin Crowe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Faneuil Hall Marketplace # 326, Boston, MA 02109 Phone: 303-304-6528

Soohyun Park, PHD - Medicare Psychologist in Boston, MA