Bum Y Park, MD is a medicare enrolled "General Practice" physician in Woodside, New York. He graduated from medical school in 1981 and has 45 years of diverse experience with area of expertise as General Practice. His current practice location is
4010 70th St, Woodside, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 899-4600.
Bum Y Park is licensed to practice in New York (license number 168409) 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 1750353124.
Physician's Profile
| Full Name | Bum Y Park |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Experience | 45 Years |
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| Location | 4010 70th St, Woodside, New York |
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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. |
Medical Education and Training:
- Bum Y Park graduated from medical school in 1981
NPI Data:
- NPI Number: 1750353124
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800195702
- Enrollment ID: I20240123001691
Medical Identifiers
Medical identifiers for Bum Y Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750353124 | NPI | - | NPPES |
| 01008740 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 168409 (New York) | Secondary |
| 208D00000X | General Practice | 168409 (New York) | Primary |
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. Bum Y 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 |
Bum Y Park, MD 4010 70th St, Woodside, NY 11377-2930 Ph: (718) 899-4600 | Bum Y Park, MD 4010 70th St, Woodside, NY 11377-2930 Ph: (718) 899-4600 |
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