Dr Kyu-sik Park, MD in Cottonwood, AZ - Medicare Anesthesiology

Dr Kyu-sik Park, MD is a medicare enrolled "Anesthesiology" physician in Cottonwood, Arizona. He went to Indiana University School Of Medicine and graduated in 2005 and has 20 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 269 S Candy Ln, Cottonwood, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 639-6150.

Dr Kyu-sik Park is licensed to practice in Arizona (license number 75588) 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 1952443202.

Contact Information

	Dr Kyu-sik Park, MD
	269 S Candy Ln, Cottonwood, AZ 86326
	(928) 639-6150
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kyu-sik Park
Gender	Male
Speciality	Anesthesiology
Experience	20 Years
Location	269 S Candy Ln, Cottonwood, Arizona
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 Kyu-sik Park attended and graduated from Indiana University School Of Medicine in 2005

NPI Data:

NPI Number: 1952443202
Provider Enumeration Date: 02/13/2007
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9931252905
Enrollment ID: I20250128003780

Medical Identifiers

Medical identifiers for Dr Kyu-sik Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952443202	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	IP922 (Kentucky)	Secondary
207L00000X	Anesthesiology	75588 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Verde Valley Medical Center	Cottonwood, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	382

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 Kyu-sik Park allows following entities to bill medicare on his behalf.

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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 Kyu-sik 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 Kyu-sik Park, MD 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Dr Kyu-sik Park, MD 269 S Candy Ln, Cottonwood, AZ 86326 Ph: (928) 639-6150

Reviews and Comments

Anesthesiology Doctors in Cottonwood, AZ

Dr. Charles A Cluff, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561
Preston Clark Roby, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3655 E Penny Ln, Cottonwood, AZ 86326 Phone: 928-634-3902
Dr. Gary Douglas Gridley, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561
Ann Carlson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561
Dr. Amy L Gottschalk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561
David Crowell, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 W Highway 89a, Cottonwood, AZ 86326 Phone: 602-273-6770 Fax: 602-889-0489
William A. Levinger, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150

Dr Kyu-sik Park, MD - Medicare Anesthesiology in Cottonwood, AZ