Dr Samuel S Park, MD - Medicare Anesthesiology in Kirkland, WA

Dr Samuel S Park, MD is a medicare enrolled "Anesthesiology" physician in Kirkland, Washington. He went to University Of Washington School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Franciscan Medical Group, Matrix Anesthesia, Ps and his current practice location is 12040 Ne 128th St, Kirkland, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 899-3455.

Dr Samuel S Park is licensed to practice in Washington (license number MD61147982) 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 1124551239.

Contact Information

Dr Samuel S Park, MD
12040 Ne 128th St,
Kirkland, WA 98034-3013
(425) 899-3455
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel S Park
GenderMale
SpecialityAnesthesiology
Experience7 Years
Location12040 Ne 128th St, Kirkland, Washington
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 S Park attended and graduated from University Of Washington School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1124551239
  • Provider Enumeration Date: 04/05/2017
  • Last Update Date: 09/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729356985
  • Enrollment ID: I20210430000406

Medical Identifiers

Medical identifiers for Dr Samuel S Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124551239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology MD61147982 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Evergreenhealth Medical CenterKirkland, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Franciscan Medical Group05471738661115
Matrix Anesthesia, Ps397140370093

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 S Park allows following entities to bill medicare on his behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789
Entity NameMatrix Anesthesia, Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831146422
PECOS PAC ID: 3971403700
Enrollment ID: O20040109000422

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 S 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 S Park, MD
Po Box 4069,
Everett, WA 98204-0007

Ph: (206) 543-2470
Dr Samuel S Park, MD
12040 Ne 128th St,
Kirkland, WA 98034-3013

Ph: (425) 899-3455

Reviews and Comments


Anesthesiology Doctors in Kirkland, WA

Dr. Holly Anne Nelson, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St # Ms 69, Kirkland, WA 98034
Phone: 206-540-0175    
Julian W Klos, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th Street, Kirkland, WA 98034
Phone: 425-899-1000    
June L. Lee, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St, Kirkland, WA 98034
Phone: 425-899-1000    
Thomas R. Stibbins, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St, Kirkland, WA 98034
Phone: 425-899-1000    
Teri L. Mcfall, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St, Kirkland, WA 98034
Phone: 425-899-1000    
Jan E. Stroh, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 12040 Ne 128th St, Kirkland, WA 98034
Phone: 425-899-1000    
Marc D Erlitz, MD
Anesthesiology
Medicare: Medicare Enrolled
Practice Location: 12333 Ne 130th Ln, Suite 500, Kirkland, WA 98034
Phone: 425-353-3788    Fax: 425-353-8041

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.