| Dr Malsuk Park, DO | |
|
33-57 Harrison St, Johnson City, NY 13790-2107 | |
| (607) 763-6412 | |
| (607) 763-5854 |
| Full Name | Dr Malsuk Park |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 33-57 Harrison St, Johnson City, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902890759 | NPI | - | NPPES |
| 8094501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB06993400 (New Jersey) | Secondary |
| 207P00000X | Emergency Medicine | 209345 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Current Care Of New Jersey Pa | 1153461264 | 34 |
| Entity Name | American Current Care of New Jersey PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609044999 PECOS PAC ID: 1153461264 Enrollment ID: O20091222000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Malsuk Park, DO 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 763-6412 | Dr Malsuk Park, DO 33-57 Harrison St, Johnson City, NY 13790-2107 Ph: (607) 763-6412 |
John Peter Zevan, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6611 Fax: 607-763-6411 |
Dr. Shae Lynn Bolander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |
Theodore M Petkov, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 Fax: 607-763-5854 |
Abdullah Faiq, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |
Teresa A Sacco, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6622 Fax: 607-763-5854 |
Dr. Christian Elijah Rosado, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |
Mustafa Ali Khan, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 33-57 Harrison St, Johnson City, NY 13790 Phone: 607-763-6412 |