Edward Y Park, DO - Medicare Nephrology in Tempe, AZ

Edward Y Park, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Tempe, Arizona. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2003 and has 21 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Plc and his current practice location is 2149 E Warner Rd Ste 102, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 610-6100.

Edward Y Park is licensed to practice in Arizona (license number 4218) 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 1497783971.

Contact Information

Edward Y Park, DO
2149 E Warner Rd Ste 102,
Tempe, AZ 85284-3495
(480) 610-6100
(480) 464-0189



Physician's Profile

Full NameEdward Y Park
GenderMale
SpecialityNephrology
Experience21 Years
Location2149 E Warner Rd Ste 102, Tempe, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edward Y Park attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2003
  NPI Data:
  • NPI Number: 1497783971
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 01/19/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1254334691
  • Enrollment ID: I20070227000103

Medical Identifiers

Medical identifiers for Edward Y Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497783971NPI-NPPES
4218OtherAZARIZONA STATE LICENSE
2675627MedicaidOH
000000483998OtherOHBC/BS OF OHIO
182405MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 4218 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sweetwater Ridge Dialysis (dva)Peoria, AZDialysis facility
Southwest Kidney Dialysis - Arrowhead Lakes (dva)Glendale, AZDialysis facility
Northeast Phoenix Dialysis (dsi)Phoenix, AZDialysis facility
Banner Thunderbird Medical CenterGlendale, AZHospital
Honorhealth Deer Valley Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Kidney Institute Plc822493098781

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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. Edward Y Park allows following entities to bill medicare on his behalf.
Entity NameSouthwest Kidney Institute Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659316008
PECOS PAC ID: 8224930987
Enrollment ID: O20040211001069

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Entity NameSouthwest Kidney Institute Scottsdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231012
PECOS PAC ID: 3577798313
Enrollment ID: O20131101000457

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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. Edward Y 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
Edward Y Park, DO
2149 E Warner Rd, Suite 101,
Tempe, AZ 85284-3494

Ph: (480) 610-6100
Edward Y Park, DO
2149 E Warner Rd Ste 102,
Tempe, AZ 85284-3495

Ph: (480) 610-6100

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Internal Medicine Doctors in Tempe, AZ

Dr. Steven Alex Baldwin, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1898 E Southern Ave, Tempe, AZ 85282
Phone: 480-838-0068    Fax: 480-838-3409
Denise I Beighe, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 451 E University Dr, Tempe, AZ 85281
Phone: 480-965-3346    Fax: 480-965-8914
Dr. M. Jamil Akhtar, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2157 E Baseline Rd, Suite 101, Tempe, AZ 85283
Phone: 480-962-9494    Fax: 480-962-8140
Emil Slovak Jr., M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 4600 S Mill Ave, Suite 280, Tempe, AZ 85282
Phone: 480-305-2888    Fax: 480-305-2889
Supriya Bhandari, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1840 E Broadway Rd, Tempe, AZ 85282
Phone: 602-243-7277    Fax: 480-927-1092
Dr. Monaliza Setudehnia, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 2055 E Southern Ave, Suite D, Tempe, AZ 85282
Phone: 480-345-7676    
Bhupinder Singh, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 2141 E Warner Rd, Suite 101, Tempe, AZ 85284
Phone: 480-969-8714    Fax: 480-464-0189

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