Dr Hyoungsup Park, MD, PHD in Farmington, CT

Dr Hyoungsup Park, MD, PHD is a medicare enrolled "Family Medicine" physician in Farmington, Connecticut. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Physicians Pc and his current practice location is 599 Famington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at (608) 284-4945.

Dr Hyoungsup Park is licensed to practice in Connecticut (license number 043254) 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 1174512735.

Contact Information

	Dr Hyoungsup Park, MD, PHD
	599 Famington Ave, Farmington, CT 06032
	(608) 284-4945
	(860) 284-4946

Map and Direction

Physician's Profile

Full Name	Dr Hyoungsup Park
Gender	Male
Speciality	Family Practice
Experience	44 Years
Location	599 Famington Ave, Farmington, Connecticut
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:

Dr Hyoungsup Park graduated from medical school in 1980

NPI Data:

NPI Number: 1174512735
Provider Enumeration Date: 10/17/2005
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 2062440266
Enrollment ID: I20070817000255

Medical Identifiers

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

Identifier	Type	State	Issuer
1174512735	NPI	-	NPPES
008004410	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	223132 (Massachusetts)	Secondary
207Q00000X	Family Medicine	200492 (Louisiana)	Secondary
207Q00000X	Family Medicine	043254 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prohealth Physicians Pc	1355246950	236

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 Hyoungsup Park allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602

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 Hyoungsup 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 Hyoungsup Park, MD, PHD 599 Famington Ave, Farmington, CT 06032 Ph: (608) 284-4945	Dr Hyoungsup Park, MD, PHD 599 Famington Ave, Farmington, CT 06032 Ph: (608) 284-4945

Reviews and Comments

Family Medicine Doctors in Farmington, CT

Carson Wright, PHYSCIAN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16 Munson Rd University Of Connecticut, Correctional Managed Health Care, Farmington, CT 06030 Phone: 860-763-6588
Marc S Croteau, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Uconn/occupational Medicine Associates, Farmington, CT 06030 Phone: 860-679-2893 Fax: 860-679-4587
Dr. Demetra Eleftheriou, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Farm Glen Blvd, Farmington, CT 06032 Phone: 860-284-5266 Fax: 860-409-4077
Montgomery Bernard Douglas, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-4474
Dr. Timothy Stephen Lishnak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770
Wahila Alam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-4477 Fax: 860-679-8770

Dr Hyoungsup Park, MD, PHD - Medicare Family Practice in Farmington, CT