Dai Park, MD in Modesto, CA - Medicare Allergy/immunology

Dai Park, MD is a medicare enrolled "Allergy & Immunology" physician in Modesto, California. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 2006 and has 18 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Sutter Bay Medical Foundation and her current practice location is 600 Coffee Rd, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 521-6097.

Dai Park is licensed to practice in California (license number A101619) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376744896.

Contact Information

	Dai Park, MD
	600 Coffee Rd, Modesto, CA 95355-4201
	(209) 521-6097
	Not Available

Map and Direction

Physician's Profile

Full Name	Dai Park
Gender	Female
Speciality	Allergy/immunology
Experience	18 Years
Location	600 Coffee Rd, Modesto, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dai Park attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2006

NPI Data:

NPI Number: 1376744896
Provider Enumeration Date: 05/31/2007
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2163563875
Enrollment ID: I20120820000301

Medical Identifiers

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

Identifier	Type	State	Issuer
1376744896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	45278 (Tennessee)	Secondary
207R00000X	Internal Medicine	A101619 (California)	Secondary
207K00000X	Allergy & Immunology	A101619 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2941

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. Dai Park allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Baz Allergy Asthma & Sinus Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710906995 PECOS PAC ID: 6507770716 Enrollment ID: O20031112000791

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Dai 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
Dai Park, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097	Dai Park, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097

Reviews and Comments

Allergy & Immunology Doctors in Modesto, CA

Wallace B Carroll, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Nisha Ann Roy, Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 1923 Coffee Rd Ste 12, Modesto, CA 95355 Phone: 209-409-8454
James T. Jaing, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-557-1000
Dr. Richard H. Davis, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1429 College Ave, Suite E, Modesto, CA 95350 Phone: 209-578-1582 Fax: 209-578-5185

Dai Park, MD - Medicare Allergy/immunology in Modesto, CA