Dr Samuel Joon Park, MD in Mineola, NY - Medicare Internal Medicine

Dr Samuel Joon Park, MD is a medicare enrolled "Internal Medicine" physician in Mineola, New York. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Coney Island Medical Practice Plan, P.c. and his current practice location is 160 1st St Unit 551, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 619-8098.

Dr Samuel Joon Park is licensed to practice in West Virginia (license number 28444) 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 1053607952.

Contact Information

	Dr Samuel Joon Park, MD
	160 1st St Unit 551, Mineola, NY 11501-5025
	(516) 619-8098
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Joon Park
Gender	Male
Speciality	Internal Medicine
Experience	13 Years
Location	160 1st St Unit 551, Mineola, New York
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 Samuel Joon Park graduated from medical school in 2011

NPI Data:

NPI Number: 1053607952
Provider Enumeration Date: 06/20/2011
Last Update Date: 11/12/2021

Medicare PECOS Information:

PECOS PAC ID: 2860775475
Enrollment ID: I20220504002645

Medical Identifiers

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

Identifier	Type	State	Issuer
1053607952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01081067A (Indiana)	Secondary
207R00000X	Internal Medicine	28444 (West Virginia)	Primary
208000000X	Pediatrics	285562 (New York)	Secondary
208000000X	Pediatrics	CDRH.0057133 (Colorado)	Secondary
207R00000X	Internal Medicine	CDRH.0057133 (Colorado)	Secondary
207R00000X	Internal Medicine	285562 (New York)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Coney Island Medical Practice Plan, P.c.	5496944803	308

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 Samuel Joon Park allows following entities to bill medicare on his behalf.

Entity Name	Coney Island Medical Practice Plan, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386951762 PECOS PAC ID: 5496944803 Enrollment ID: O20110114000660

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 Samuel Joon 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 Samuel Joon Park, MD 160 1st St Unit 551, Mineola, NY 11501-5025 Ph: (516) 619-8098	Dr Samuel Joon Park, MD 160 1st St Unit 551, Mineola, NY 11501-5025 Ph: (516) 619-8098

Reviews and Comments

Internal Medicine Doctors in Mineola, NY

Dr. Marlene Martins Lobato, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 173 Mineola Blvd, Suite 403, Mineola, NY 11501 Phone: 516-741-8891 Fax: 516-741-8829
Michael Garrison, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Suite 450, Mineola, NY 11501 Phone: 516-663-9500 Fax: 516-663-4613
Dr. Anupama Ananda, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 Willis Ave, Suite 210, Mineola, NY 11501 Phone: 516-739-7290 Fax: 516-793-7291
Mr. Jeffrey Liu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 297 Mineola Blvd, Mineola, NY 11501 Phone: 516-294-1377 Fax: 516-294-5574
Dr. Jonathan Shulman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2381
John I Hogan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 432, Mineola, NY 11501 Phone: 516-663-2507
Dr. Anthony Massimillo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Old Country Rd Ste 31, Mineola, NY 11501 Phone: 516-294-9380 Fax: 516-294-5351

Dr Samuel Joon Park, MD - Medicare Internal Medicine in Mineola, NY