Young Park, is a medicare enrolled "Family Medicine" physician in Oakland Gardens, New York. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice City Medical Of Upper East Side Pllc and his current practice location is
21422 73rd Ave, Oakland Gardens, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 347-3500.
Young Park is licensed to practice in New York (license number 296355) 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 1083094189.
Physician's Profile
| Full Name | Young Park |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 21422 73rd Ave, Oakland Gardens, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Young Park graduated from medical school in 2014
NPI Data:
- NPI Number: 1083094189
- Provider Enumeration Date: 06/03/2015
- Last Update Date: 06/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 3577852524
- Enrollment ID: I20181102002097
Medical Identifiers
Medical identifiers for Young Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083094189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 296355 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Medical Of Upper East Side Pllc | 0648465039 | 759 |
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. Young Park allows following entities to bill medicare on his behalf.
| Entity Name | City Medical Of Upper East Side Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801277629
PECOS PAC ID: 0648465039
Enrollment ID: O20101111000052 |
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| Entity Name | Internal Medicine Associates, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619188489
PECOS PAC ID: 1951291467
Enrollment ID: O20110711000004 |
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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. 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 |
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Young Park,
21422 73rd Ave,
Oakland Gardens, NY 11364-2914
Ph: (718) 347-3500 | Young Park,
21422 73rd Ave,
Oakland Gardens, NY 11364
Ph: (718) 347-3500 |
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