Dr Joseph S Park, DDS in Hogansburg, NY - Medicare Dentist Provider

Dr Joseph S Park, DDS is a medicare enrolled "Dentist" provider in Hogansburg, New York. His current practice location is 412 State Route 37, Hogansburg, New York. You can reach out to his office (for appointments etc.) via phone at (518) 358-3141.

Dr Joseph S Park is licensed to practice in New York (license number 0511251) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396736989.

Contact Information

	Dr Joseph S Park, DDS
	412 State Route 37, Hogansburg, NY 13655-3109
	(518) 358-3141
	(518) 358-2797

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joseph S Park
Gender	Male
Speciality	Dentist
Location	412 State Route 37, Hogansburg, 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: 1396736989
Provider Enumeration Date: 11/02/2005
Last Update Date: 03/25/2015

Medicare PECOS Information:

PECOS PAC ID: 6709106529
Enrollment ID: I20210716000442

Medical Identifiers

Medical identifiers for Dr Joseph S Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396736989	NPI	-	NPPES
89875818	Medicaid	CO
44007027	Medicaid	NM
03078080	Medicaid	NY
852708	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0511251 (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 Joseph S Park allows following entities to bill medicare on his behalf.

Entity Name	St Regis Mohawk Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764

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 Joseph S 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 Joseph S Park, DDS 412 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141	Dr Joseph S Park, DDS 412 State Route 37, Hogansburg, NY 13655-3109 Ph: (518) 358-3141

Reviews and Comments

Dentist in Hogansburg, NY

Dr. Song Yong Park, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 412 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-2797
Daniel M Cahill, DMD Dentist Medicare: Medicare Enrolled Practice Location: 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175
Mr. Zenas Kuate Defo, DMD Dentist Medicare: Medicare Enrolled Practice Location: St Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175
Dr. Michael Thomas Guldan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 412 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-6245
Stefanie Katrina Davis, DDS Dentist Medicare: Medicare Enrolled Practice Location: Saint Regis Mohawk Tribe Health Services, 404 State Route 37, Hogansburg, NY 13655 Phone: 518-358-3141 Fax: 518-358-9175

Dr Joseph S Park, DDS - Medicare Dentist in Hogansburg, NY