Elizabeth Yookyung Park, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Las Vegas, Nevada. Her current practice location is
3014 W Charleston Blvd Ste 130, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 671-5127.
Elizabeth Yookyung Park is licensed to practice in * (Not Available) (license number ) 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 1952160186.
Physician's Profile
| Full Name | Elizabeth Yookyung Park |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952160186
- Provider Enumeration Date: 03/18/2024
- Last Update Date: 05/30/2026
Medicare PECOS Information:
- PECOS PAC ID: 7911446810
- Enrollment ID: I20240822004329
Medical Identifiers
Medical identifiers for Elizabeth Yookyung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952160186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | LL4239 (Nevada) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Elizabeth Yookyung 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 |
Elizabeth Yookyung Park, MD 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 Ph: () - | Elizabeth Yookyung Park, MD 3014 W Charleston Blvd Ste 130, Las Vegas, NV 89102-0083 Ph: (702) 671-5127 |
Reviews and Comments