Dr Tricia L Park, PHD - Medicare Psychologist in Endicott, NY

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Dr Tricia L Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Endicott, New York. Her current practice location is 202 E Main St, Endicott, New York. You can reach out to her office (for appointments etc.) via phone at (607) 754-2660.

Dr Tricia L Park is licensed to practice in New York (license number 015109-1) 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 1548297724.

Contact Information

Dr Tricia L Park, PHD
202 E Main St,
Endicott, NY 13760-4817
(607) 754-2660
(607) 754-2660

Map and Direction




Healthcare Provider's Profile

Full NameDr Tricia L Park
GenderFemale
SpecialityPsychologist - Clinical
Location202 E Main St, Endicott, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548297724
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 11/04/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4082756622
  • Enrollment ID: I20100121000007

Medical Identifiers

Medical identifiers for Dr Tricia L Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548297724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 015109-1 (New York)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. Dr Tricia L Park allows following entities to bill medicare on her behalf.
Entity NameHospitalist Healthcare Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275962011
PECOS PAC ID: 1557599313
Enrollment ID: O20140124001195
Entity NameNew York General Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700315538
PECOS PAC ID: 7810255494
Enrollment ID: O20180103003151

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. Dr Tricia L 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 AddressPractice Location Address
Dr Tricia L Park, PHD
202 E Main St,
Endicott, NY 13760-4817

Ph: (607) 754-2660		Dr Tricia L Park, PHD
202 E Main St,
Endicott, NY 13760-4817

Ph: (607) 754-2660

Reviews and Comments


Psychologist in Endicott, NY

Dr. Andrea Chapman, PSY.D.
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Phone: 607-785-0400    Fax: 607-785-0077
Dr. Michael Bruce Lister, PSY.D.
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Practice Location: 423 E Main St, #2, Endicott, NY 13760
Phone: 607-754-1101    Fax: 607-754-1107
Kimberly Lieber-diaz,
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Practice Location: 1237 Domenica Dr, Endicott, NY 13760
Phone: 570-335-3465    
Dr. Greta L. Myers, PH.D.
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Practice Location: 715 Paden St, Endicott, NY 13760
Phone: 607-757-2854    
Dr. Jennifer S. Berryman, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 94 Marshall Dr, Endicott, NY 13760
Phone: 315-378-8973    Fax: 607-785-0400
Dr. Vincent James Monastra, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 94 Marshall Dr, Endicott, NY 13760
Phone: 607-785-0400    Fax: 607-785-0077

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.