Lisa Kyoun Park, MD - Medicare Diagnostic Radiology in Manhasset, NY

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Lisa Kyoun Park, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Manhasset, New York. She went to Boston University School Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Diagnostic Radiology. Her current practice location is 300 Community Dr, Manhasset, New York. You can reach out to her office (for appointments etc.) via phone at (516) 562-0100.

Lisa Kyoun Park is licensed to practice in New York (license number 3975508) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972130938.

Contact Information

Lisa Kyoun Park, MD
300 Community Dr,
Manhasset, NY 11030-3816
(516) 562-0100
Not Available

Map and Direction




Physician's Profile

Full NameLisa Kyoun Park
GenderFemale
SpecialityDiagnostic Radiology
Experience6 Years
Location300 Community Dr, Manhasset, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Kyoun Park attended and graduated from Boston University School Of Medicine in 2020
  NPI Data:
  • NPI Number: 1972130938
  • Provider Enumeration Date: 03/26/2020
  • Last Update Date: 09/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9638698020
  • Enrollment ID: I20250529000930

Medical Identifiers

Medical identifiers for Lisa Kyoun Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972130938NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 3975508 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Wi Hospitals & Clinics AuthorityMadison, WIHospital
Unitypoint Health - MeriterMadison, WIHospital

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. Lisa Kyoun Park allows following entities to bill medicare on her behalf.
Entity NameUniversity of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameUniversity of Wisconsin System Non Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346266319
PECOS PAC ID: 9133024888
Enrollment ID: O20031204001102
Entity NameGroup Health Cooperative of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306
Entity NameFort Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411
Entity NameRichland Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20090210000218
Entity NameRichland Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659301273
PECOS PAC ID: 7618861618
Enrollment ID: O20110318000356

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. Lisa Kyoun 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 AddressPractice Location Address
Lisa Kyoun Park, MD
300 Community Dr,
Manhasset, NY 11030-3816

Ph: Not Available		Lisa Kyoun Park, MD
300 Community Dr,
Manhasset, NY 11030-3816

Ph: (516) 562-0100

Reviews and Comments


Radiology Doctors in Manhasset, NY

Dr. Michael Dimitrios Karachalios, M.D.
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Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 888-321-3627    
Eran Ben-levi, MD
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Practice Location: Nsuh-dept Of Radiology, 300 Community Drive, Manhasset, NY 11030
Phone: 516-562-2819    
Adina Haramati, M.D.
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Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 516-562-0100    
Dr. Moazzem Kazi, M.D.
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Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 516-562-4286    
Dr. John Shannon O'donnell, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 300 Community Dr, Department Of Radiology, Manhasset, NY 11030
Phone: 516-562-4797    
Rachel Saks, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 516-562-0100    
Jonathan Ross Weisiger, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Community Dr, Manhasset, NY 11030
Phone: 516-562-0100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.