Dr Kenneth J Park, DO - Medicare Obstetrics/gynecology in Redlands, CA

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Dr Kenneth J Park, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Redlands, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Beaver Medical Group Pc and his current practice location is 2 W Fern Ave, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 793-3311.

Dr Kenneth J Park is licensed to practice in California (license number 14077) 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 1457643215.

Contact Information

Dr Kenneth J Park, DO
2 W Fern Ave,
Redlands, CA 92373
(909) 793-3311
(805) 354-7102

Map and Direction




Physician's Profile

Full NameDr Kenneth J Park
GenderMale
SpecialityObstetrics/gynecology
Experience13 Years
Location2 W Fern Ave, Redlands, California
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:
  • Dr Kenneth J Park graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1457643215
  • Provider Enumeration Date: 05/11/2011
  • Last Update Date: 08/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5597074260
  • Enrollment ID: I20151020001107

Medical Identifiers

Medical identifiers for Dr Kenneth J Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457643215NPI-NPPES
CB243726OtherCAMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 14077 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaver Medical Group Pc0547164295272

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 Kenneth J Park allows following entities to bill medicare on his behalf.
Entity NameBeaver Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649503319
PECOS PAC ID: 0547164295
Enrollment ID: O20031124000449
Entity NameObhg California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826

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 Kenneth J 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 Kenneth J Park, DO
1615 Orange Tree Ln,
Redlands, CA 92374-4501

Ph: (909) 786-0725		Dr Kenneth J Park, DO
2 W Fern Ave,
Redlands, CA 92373

Ph: (909) 793-3311

Reviews and Comments


Obstetrics & Gynecology Doctors in Redlands, CA

Dr. Victoria Nicole Flores, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 570 Nevada St, Redlands, CA 92373
Phone: 562-412-9144    
Dr. Karim Toursarkissian, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 W Fern Ave, Redlands, CA 92373
Phone: 909-793-3311    
Dr. Christina Dolores Bennett-stewart, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 W Fern Ave, Redlands, CA 92373
Phone: 909-793-3311    
Dr. Joseph H. Warren, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 222 S Buena Vista St, Redlands, CA 92373
Phone: 909-792-7770    
Norie Sadjadi, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 W Fern Ave, Redlands, CA 92373
Phone: 909-793-3311    
Han Li,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 W Fern Ave, Redlands, CA 92373
Phone: 909-786-0722    
Dr. Hazem Qalla, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2 W Fern Ave, Redlands, CA 92373
Phone: 909-793-3311    

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.