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

  1. Home
  2. Internal Medicine
  3. NY
  4. Mineola
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 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospitalist Medicine Physicians Of Ohio, Professional Corporation, Sound Physicians Of Idaho, Sound Physicians Of Illinois Llc 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 NameDr Samuel Joon Park
GenderMale
SpecialityInternal Medicine
Experience15 Years
Location160 1st St Unit 551, Mineola, New York
Accepts Medicare AssignmentsYes. 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: I20250829002520

Medical Identifiers

Medical identifiers for Dr Samuel Joon Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053607952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01081067A (Indiana)Secondary
207R00000XInternal Medicine 28444 (West Virginia)Primary
208000000XPediatrics 285562 (New York)Secondary
208000000XPediatrics CDRH.0057133 (Colorado)Secondary
207R00000XInternal Medicine CDRH.0057133 (Colorado)Secondary
207R00000XInternal Medicine 285562 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Regional Medical CenterLewiston, IDHospital
Osf Sacred Heart Medical CenterDanville, ILHospital
Tri-state Memorial HospitalClarkston, WAHospital
Clearwater Valley Hospital & ClinicsOrofino, IDHospital
St Mary's HospitalCottonwood, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospitalist Medicine Physicians Of Ohio, Professional Corporation3779749197165
Sound Physicians Of Idaho468870534647
Sound Physicians Of Illinois Llc1557533734193

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 NameHospitalist Medicine Physicians of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameHospitalist Medicine Physicians of Ohio-columbus II Professional Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861038069
PECOS PAC ID: 3173953460
Enrollment ID: O20200429001990

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 AddressPractice 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

Shivanu Dhawan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 259 1st St Rm 291, Mineola, NY 11501
Phone: 516-663-8963    Fax: 516-663-8964
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.