Su Young Park, MD in Scranton, PA

Su Young Park, MD is a medicare enrolled "Pediatrics" physician in Scranton, Pennsylvania. Her current practice location is 1800 Mulberry St, Scranton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 703-8000.

Su Young Park is licensed to practice in Pennsylvania (license number MD467941) 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 1427406560.

Contact Information

	Su Young Park, MD
	1800 Mulberry St, Scranton, PA 18510-2369
	(570) 703-8000
	(570) 703-8559

Map and Direction

Physician's Profile

Full Name	Su Young Park
Gender	Female
Speciality	Pediatrics
Location	1800 Mulberry St, Scranton, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427406560
Provider Enumeration Date: 05/31/2016
Last Update Date: 07/05/2019

Medicare PECOS Information:

PECOS PAC ID: 3870829625
Enrollment ID: I20190731002862

Medical Identifiers

Medical identifiers for Su Young Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427406560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD467941 (Pennsylvania)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Su Young Park allows following entities to bill medicare on her behalf.

Entity Name	Geisinger Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518

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. Su Young 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
Su Young Park, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144	Su Young Park, MD 1800 Mulberry St, Scranton, PA 18510-2369 Ph: (570) 703-8000

Reviews and Comments

Pediatrics Doctors in Scranton, PA

Ms. Alana Rickard, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290
Dr. Kathryn Gloria Gibbons, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Morgan Hwy, Scranton, PA 18508 Phone: 570-207-4360
Marie S Lena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 531 Mt Pleasant Dr, Scranton, PA 18503 Phone: 570-342-8500 Fax: 570-558-2290
Mr. Vincent Luciano Ross, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 442 N Main Ave, Scranton, PA 18504 Phone: 570-347-5605 Fax: 570-347-5606
Violeta Marina Lizano, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 Smallacombe Dr, Scranton, PA 18508 Phone: 570-961-0171 Fax: 570-207-2411
Christine Burke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 959 Wyoming Ave, Scranton, PA 18509 Phone: 570-344-9684 Fax: 570-969-0968
Dr. Elizabeth Escalante, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Quincy Ave, 5th Fl, Scranton, PA 18510 Phone: 570-770-7546 Fax: 570-770-7545

Su Young Park, MD - Medicare Pediatrics in Scranton, PA