So Hyun Park, OTR/L in East Orange, NJ - Medicare Occupational Therapist Provider

So Hyun Park, OTR/L is a medicare enrolled "Occupational Therapist" provider in East Orange, New Jersey. Her current practice location is 101 N Grove St, East Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 672-1700.

So Hyun Park is licensed to practice in New Jersey (license number 46TR01158300) 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 1073319240.

Contact Information

	So Hyun Park, OTR/L
	101 N Grove St, East Orange, NJ 07017-4712
	(973) 672-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	So Hyun Park
Gender	Female
Speciality	Occupational Therapist
Location	101 N Grove St, East Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073319240
Provider Enumeration Date: 02/19/2025
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9739609488
Enrollment ID: I20250225001020

Medical Identifiers

Medical identifiers for So Hyun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073319240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	46TR01158300 (New Jersey)	Primary

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. So Hyun Park allows following entities to bill medicare on her behalf.

Provider Name	At Home By Enhance Therapies Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929

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. So Hyun 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
So Hyun Park, OTR/L 1350 15th St Apt 12h, Fort Lee, NJ 07024-2027 Ph: (949) 322-2227	So Hyun Park, OTR/L 101 N Grove St, East Orange, NJ 07017-4712 Ph: (973) 672-1700

Reviews and Comments

Occupational Therapist in East Orange, NJ

Michelle Anne Servello, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000
Lynn Ryan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, Pm&rs 117, East Orange, NJ 07018 Phone: 973-676-1000
Mr. David J. Byrne, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, Pm & Rs - Occupational Therapy, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7160
Faith Afriyie, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 46 Crescent Rd, East Orange, NJ 07017 Phone: 314-606-6997
Kassandra Soldevilla, OTR, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000
Michelle Silber, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7160

So Hyun Park, OTR/L - Medicare Occupational Therapist in East Orange, NJ