Dr Sung Eun Park, MD is a
Pediatrics physician based in Coeur D'alene, Idaho. Dr Sung Eun Park is licensed to practice in Idaho (license number M11886) and his current practice location is 980 W. Ironwood Drive, Suite 302, Coeur D'alene, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 292-5437.
NPI number for Dr Sung Eun Park is 1215103171 and his current mailing address is 980 W. Ironwood Drive, Suite 302, Coeur D'alene, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215103171.
Physician's Profile
| Full Name | Dr Sung Eun Park |
|---|
| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 980 W. Ironwood Drive, Coeur D'alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215103171
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 06/19/2013
Medical Identifiers
Medical identifiers for Dr Sung Eun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215103171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 6353386-1205 (Utah) | Secondary |
| 208000000X | Pediatrics | 036120274 (Illinois) | Secondary |
| 208000000X | Pediatrics | M11886 (Idaho) | Primary |
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 Sung Eun Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sung Eun Park, MD
980 W. Ironwood Drive, Suite 302,
Coeur D'alene, ID 83814
Ph: (208) 292-5437 | Dr Sung Eun Park, MD
980 W. Ironwood Drive, Suite 302,
Coeur D'alene, ID 83814
Ph: (208) 292-5437 |
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