Dr Tae Keun Park, MD in Manhasset, NY - Medicare Emergency Medicine

Dr Tae Keun Park, MD is a medicare enrolled "Emergency Medicine" physician in Manhasset, New York. His current practice location is 300 Community Dr, Department Of Emergency Medicine, Manhasset, New York. You can reach out to his office (for appointments etc.) via phone at (516) 562-2925.

Dr Tae Keun Park is licensed to practice in New Jersey (license number 25MA08835000) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093940249.

Contact Information

	Dr Tae Keun Park, MD
	300 Community Dr, Department Of Emergency Medicine, Manhasset, NY 11030-3816
	(516) 562-2925
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tae Keun Park
Gender	Male
Speciality	Emergency Medicine
Location	300 Community Dr, Manhasset, 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: 1093940249
Provider Enumeration Date: 05/18/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3274687397
Enrollment ID: I20110504000727

Medical Identifiers

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

Identifier	Type	State	Issuer
1093940249	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PS0010X	Emergency Medicine - Sports Medicine	252574 (New York)	Secondary
207PS0010X	Emergency Medicine - Sports Medicine	A104548 (California)	Secondary
207PS0010X	Emergency Medicine - Sports Medicine	25MA08835000 (New Jersey)	Secondary
207P00000X	Emergency Medicine	25MA08835000 (New Jersey)	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 Tae Keun Park allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physician Services Of New Jersey,professional Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831539568 PECOS PAC ID: 1052554177 Enrollment ID: O20130821000326

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 Tae Keun 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 Tae Keun Park, MD 718 Teaneck Rd Dept Of, Teaneck, NJ 07666-4245 Ph: (201) 833-3913	Dr Tae Keun Park, MD 300 Community Dr, Department Of Emergency Medicine, Manhasset, NY 11030-3816 Ph: (516) 562-2925

Reviews and Comments

Emergency Medicine Doctors in Manhasset, NY

Annabella Salvador, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Community Drive, Nsuh-dept Of Emergency Medicine, Manhasset, NY 11030 Phone: 516-562-4125
Jeffrey Greco, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-0100
Ingrid Llovera, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Nsuh Dept Of Emergency Medicine, 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-3090
Dr. Rachel Shively, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 847-567-4404
Dr. Justin Chen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2925
Dr. Juan Camilo Mendez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, North Shore-lij Office Of Graduate Medical Education, Manhasset, NY 11030 Phone: 646-883-2290 Fax: 844-867-7210
Ajay Kumar Puri, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Community Drive, Concourse Level, Manhasset, NY 11030 Phone: 516-470-7873

Dr Tae Keun Park, MD - Medicare Emergency Medicine in Manhasset, NY