Peter Yong Soo Park, DO in Houston, TX - Medicare Diagnostic Radiology

Peter Yong Soo Park, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Houston, Texas. He went to At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa and graduated in 2016 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kelsey-seybold Medical Group, Pllc and his current practice location is 6431 Fannin St, Msb 2.116, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 500-7640.

Peter Yong Soo Park is licensed to practice in Texas (license number T3676) 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 1043672892.

Contact Information

	Peter Yong Soo Park, DO
	6431 Fannin St, Msb 2.116, Houston, TX 77030-1501
	(713) 500-7640
	(713) 500-7647

Map and Direction

Physician's Profile

Full Name	Peter Yong Soo Park
Gender	Male
Speciality	Diagnostic Radiology
Experience	9 Years
Location	6431 Fannin St, Houston, Texas
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:

Peter Yong Soo Park attended and graduated from At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa in 2016

NPI Data:

NPI Number: 1043672892
Provider Enumeration Date: 03/22/2016
Last Update Date: 03/28/2022

Medicare PECOS Information:

PECOS PAC ID: 6204123151
Enrollment ID: I20220613001911

Medical Identifiers

Medical identifiers for Peter Yong Soo Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043672892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	SL1170 (Nevada)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085R0202X	Radiology - Diagnostic Radiology	T3676 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kelsey-seybold Medical Group, Pllc	9739093527	664

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. Peter Yong Soo Park allows following entities to bill medicare on his behalf.

Entity Name	Kelsey-seybold Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204

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. Peter Yong Soo 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
Peter Yong Soo Park, DO 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-4997	Peter Yong Soo Park, DO 6431 Fannin St, Msb 2.116, Houston, TX 77030-1501 Ph: (713) 500-7640

Reviews and Comments

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Dr. Joshua Thomas Blunck, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7026 Old Katy Rd Ste 276, Houston, TX 77024 Phone: 713-621-7426 Fax: 281-674-8308
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Neal Savjani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6720 Bertner Ave, Houston, TX 77030 Phone: 832-355-5100
Natalia Solomon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3310 Richmond Ave, Houston, TX 77098 Phone: 713-797-1919
Osama Mohamad, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161
Whitney Boyce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St # 2.116, Houston, TX 77030 Phone: 713-500-7643
Susana Calle, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161

Peter Yong Soo Park, DO - Medicare Diagnostic Radiology in Houston, TX