Brandon Hyungki Park, PT is a medicare enrolled "Physical Therapist" provider in Harrington Park, New Jersey. His current practice location is
71 S Colonial Dr, Harrington Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 602-9726.
Brandon Hyungki Park is licensed to practice in New Jersey (license number 40QA01425200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487921540.
Healthcare Provider's Profile
Full Name | Brandon Hyungki Park |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 71 S Colonial Dr, Harrington Park, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487921540
- Provider Enumeration Date: 11/17/2011
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092981514
- Enrollment ID: I20120105000416
Medical Identifiers
Medical identifiers for Brandon Hyungki Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487921540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 40QA01425200 (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. Brandon Hyungki Park allows following entities to bill medicare on his behalf.
Provider Name | Fort Lee Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003050436 PECOS PAC ID: 4880747195 Enrollment ID: O20090804000725 |
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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. Brandon Hyungki 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 |
Brandon Hyungki Park, PT 71 S Colonial Dr, Harrington Park, NJ 07640-1066 Ph: (201) 602-9726 | Brandon Hyungki Park, PT 71 S Colonial Dr, Harrington Park, NJ 07640-1066 Ph: (201) 602-9726 |
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