Eugene Park, LAC, PA-C is a medicare enrolled "Physician Assistant" provider in Fort Lee, New Jersey. He graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hackensack Meridian Urgent Care Pc, Am Pm Walk In Urgent Care Clinic, Doctors Office Of New Jersey Llc and his current practice location is
458 West St, Fort Lee, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 474-7700.
Eugene Park is licensed to practice in New York (license number 025055) 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 1154472546.
Healthcare Provider's Profile
| Full Name | Eugene Park |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 458 West St, Fort Lee, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eugene Park graduated from medical school in 2006
NPI Data:
- NPI Number: 1154472546
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 01/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830312933
- Enrollment ID: I20201014000153
Medical Identifiers
Medical identifiers for Eugene Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154472546 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 7437 (New York) | Secondary |
| 171100000X | Acupuncturist | AC8570 (California) | Secondary |
| 171100000X | Acupuncturist | 25MZ00169700 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | 25MP00577600 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | PA18721 (California) | Secondary |
| 363A00000X | Physician Assistant | 025055 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hackensack Meridian Urgent Care Pc | 2769751270 | 39 |
| Am Pm Walk In Urgent Care Clinic | 5092954602 | 55 |
| Doctors Office Of New Jersey Llc | 5799001731 | 11 |
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. Eugene 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 |
|---|
Eugene Park, LAC, PA-C
24a E Edsall Blvd,
Palisades Park, NJ 07650-3626
Ph: (323) 304-4832 | Eugene Park, LAC, PA-C
458 West St,
Fort Lee, NJ 07024-3408
Ph: (201) 474-7700 |
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