Edward Y Park, DO in Tempe, AZ - Medicare Nephrology

Edward Y Park, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Tempe, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Plc and his current practice location is 2149 E Warner Rd Ste 102, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 610-6100.

Edward Y Park is licensed to practice in Arizona (license number 4218) 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 1497783971.

Contact Information

	Edward Y Park, DO
	2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495
	(480) 610-6100
	(480) 464-0189

Map and Direction

Physician's Profile

Full Name	Edward Y Park
Gender	Male
Speciality	Nephrology
Experience	21 Years
Location	2149 E Warner Rd Ste 102, Tempe, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edward Y Park attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2003

NPI Data:

NPI Number: 1497783971
Provider Enumeration Date: 06/30/2006
Last Update Date: 01/19/2017

Medicare PECOS Information:

PECOS PAC ID: 1254334691
Enrollment ID: I20070227000103

Medical Identifiers

Medical identifiers for Edward Y Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497783971	NPI	-	NPPES
4218	Other	AZ	ARIZONA STATE LICENSE
2675627	Medicaid	OH
000000483998	Other	OH	BC/BS OF OHIO
182405	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	4218 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sweetwater Ridge Dialysis (dva)	Peoria, AZ	Dialysis facility
Southwest Kidney Dialysis - Arrowhead Lakes (dva)	Glendale, AZ	Dialysis facility
Northeast Phoenix Dialysis (dsi)	Phoenix, AZ	Dialysis facility
Banner Thunderbird Medical Center	Glendale, AZ	Hospital
Honorhealth Deer Valley Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Kidney Institute Plc	8224930987	81

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. Edward Y Park allows following entities to bill medicare on his behalf.

Entity Name	Southwest Kidney Institute Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069

Entity Name	Southwest Kidney Institute Scottsdale Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457

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. Edward Y 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
Edward Y Park, DO 2149 E Warner Rd, Suite 101, Tempe, AZ 85284-3494 Ph: (480) 610-6100	Edward Y Park, DO 2149 E Warner Rd Ste 102, Tempe, AZ 85284-3495 Ph: (480) 610-6100

Reviews and Comments

Internal Medicine Doctors in Tempe, AZ

Dr. Steven Alex Baldwin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1898 E Southern Ave, Tempe, AZ 85282 Phone: 480-838-0068 Fax: 480-838-3409
Denise I Beighe, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 451 E University Dr, Tempe, AZ 85281 Phone: 480-965-3346 Fax: 480-965-8914
Dr. M. Jamil Akhtar, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2157 E Baseline Rd, Suite 101, Tempe, AZ 85283 Phone: 480-962-9494 Fax: 480-962-8140
Emil Slovak Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4600 S Mill Ave, Suite 280, Tempe, AZ 85282 Phone: 480-305-2888 Fax: 480-305-2889
Supriya Bhandari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282 Phone: 602-243-7277 Fax: 480-927-1092
Dr. Monaliza Setudehnia, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2055 E Southern Ave, Suite D, Tempe, AZ 85282 Phone: 480-345-7676
Bhupinder Singh, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2141 E Warner Rd, Suite 101, Tempe, AZ 85284 Phone: 480-969-8714 Fax: 480-464-0189

Edward Y Park, DO - Medicare Nephrology in Tempe, AZ