Dr Innjea Park, DPM - Medicare Podiatrist in Staten Island, NY

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Dr Innjea Park, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Staten Island, New York. He went to New York College Of Podiatric Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mbip Podiatry Pc, Seaview Podiatry P.c., Wyckoff Professional Medical Services Pc and his current practice location is 970 Bard Ave, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 717-8033.

Dr Innjea Park is licensed to practice in New York (license number N006887) 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 1174907992.

Contact Information

Dr Innjea Park, DPM
970 Bard Ave,
Staten Island, NY 10301-3322
(718) 717-8033
(718) 720-6931

Map and Direction




Healthcare Provider's Profile

Full NameDr Innjea Park
GenderMale
SpecialityPodiatry
Experience9 Years
Location970 Bard Ave, Staten Island, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Innjea Park attended and graduated from New York College Of Podiatric Medicine in 2015
  NPI Data:
  • NPI Number: 1174907992
  • Provider Enumeration Date: 07/10/2015
  • Last Update Date: 04/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860742020
  • Enrollment ID: I20180910000684

Medical Identifiers

Medical identifiers for Dr Innjea Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174907992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery N006887 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wyckoff Heights Medical CenterBrooklyn, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mbip Podiatry Pc69012788112
Seaview Podiatry P.c.91334450185
Wyckoff Professional Medical Services Pc6406748607145

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 Innjea Park allows following entities to bill medicare on his behalf.
Provider NameWyckoff Heights Medical Services Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700824372
PECOS PAC ID: 4880583897
Enrollment ID: O20040315000953
Provider NameWyckoff Professional Medical Services Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659710796
PECOS PAC ID: 6406748607
Enrollment ID: O20040324001805
Provider NameFit Feet Podiatry Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588747893
PECOS PAC ID: 8921999418
Enrollment ID: O20070515000613
Provider NameSeaview Podiatry P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326446055
PECOS PAC ID: 9133445018
Enrollment ID: O20150312000717
Provider NameMbip Podiatry Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1992426969
PECOS PAC ID: 6901278811
Enrollment ID: O20230202000106

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 Innjea 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 AddressPractice Location Address
Dr Innjea Park, DPM
970 Bard Ave,
Staten Island, NY 10301-3322

Ph: (917) 796-1693		Dr Innjea Park, DPM
970 Bard Ave,
Staten Island, NY 10301-3322

Ph: (718) 717-8033

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.