Dr Susie Park, MD in Albany, NY - Medicare Radiology

Dr Susie Park, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Albany, New York. Her current practice location is 43 New Scotland Ave, Dept Of Radiology Mc 113, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 262-3722.

Dr Susie Park is licensed to practice in New York (license number 267437) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114177300.

Contact Information

	Dr Susie Park, MD
	43 New Scotland Ave, Dept Of Radiology Mc 113, Albany, NY 12208-3412
	(518) 262-3722
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Susie Park
Gender	Female
Speciality	Radiology - Pediatric Radiology
Location	43 New Scotland Ave, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114177300
Provider Enumeration Date: 09/24/2008
Last Update Date: 01/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3779727284
Enrollment ID: I20150102000008

Medical Identifiers

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

Identifier	Type	State	Issuer
1114177300	NPI	-	NPPES
03649323	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	267437 (New York)	Primary

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 Susie Park allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Los Alamitos Radiology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005024 PECOS PAC ID: 5092718882 Enrollment ID: O20060816000607

Entity Name	Glendora Radiological Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992797070 PECOS PAC ID: 2163514589 Enrollment ID: O20070815000331

Entity Name	Golden State Imaging Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200414001788

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 Susie 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 Susie Park, MD 711 Troy Schenectady Rd, Suite 203, Latham, NY 12110-2442 Ph: (518) 782-3700	Dr Susie Park, MD 43 New Scotland Ave, Dept Of Radiology Mc 113, Albany, NY 12208-3412 Ph: (518) 262-3722

Reviews and Comments

Radiology Doctors in Albany, NY

Robert A Belgam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 113 Holland Ave, Stratton Va Medical Center, Albany, NY 12208 Phone: 518-626-6650 Fax: 518-626-6644
Mr. Sreenivas Garla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 47 New Scotland Ave, Radiology Dept, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210
David Jahangir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401
Dr. S Rao Aravapalli, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 47 New Scotland Ave, Dept. Of Radiology, Albany, NY 12208 Phone: 518-262-3277 Fax: 518-262-4210
Sean Peter Roddy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 391 Myrtle Ave., Suite 5, The Vascular Group, Pllc, Albany, NY 12208 Phone: 518-262-5640 Fax: 518-262-9413
Dena Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401
Matthew Robert Shalvoy, MD Radiology Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1401 Fax: 518-525-1200

Dr Susie Park, MD - Medicare Radiology in Albany, NY