Dr Sung Park, MD in Paradise, CA - Medicare Obstetrics & Gynecology

Dr Sung Park, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Paradise, California. His current practice location is 6283 Clark Rd, Ste 5, Paradise, California. You can reach out to his office (for appointments etc.) via phone at (530) 877-5083.

Dr Sung Park is licensed to practice in California (license number A62508) 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 1396741518.

Contact Information

	Dr Sung Park, MD
	6283 Clark Rd, Ste 5, Paradise, CA 95969-4100
	(530) 877-5083
	(530) 877-5085

Map and Direction

Physician's Profile

Full Name	Dr Sung Park
Gender	Male
Speciality	Obstetrics & Gynecology
Location	6283 Clark Rd, Paradise, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396741518
Provider Enumeration Date: 06/22/2005
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 6507849288
Enrollment ID: I20040616000445

Medical Identifiers

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

Identifier	Type	State	Issuer
1396741518	NPI	-	NPPES
00A625080	Medicaid	CA
P00170570	Other		MEDICARE RAILROAD #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	A62508 (California)	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 Sung Park allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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 Sung 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
Dr Sung Park, MD 6283 Clark Rd, Ste 5, Paradise, CA 95969-4100 Ph: (530) 877-5083	Dr Sung Park, MD 6283 Clark Rd, Ste 5, Paradise, CA 95969-4100 Ph: (530) 877-5083

Reviews and Comments

Obstetrics & Gynecology Doctors in Paradise, CA

Dr. Gary R Watts, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5016 Lago Vista Way, Paradise, CA 95969 Phone: 530-872-7661
Dr. Ross H Hanchett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyway, Paradise, CA 95969 Phone: 530-872-2000 Fax: 530-872-2615
Mr. Per Arne Dovre, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6283 Clark Rd, Suite 8, Paradise, CA 95969 Phone: 530-872-2229 Fax: 530-872-3808
Dr. Ronald Ainsworth, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 711 Buschmann Rd, Ste Aa, Paradise, CA 95969 Phone: 530-877-8640 Fax: 530-877-4717
Ms. Deborah June Anderson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 771 Buschmann Rd, Suite K, Paradise, CA 95969 Phone: 530-877-2243 Fax: 530-877-5296

Dr Sung Park, MD - Medicare Obstetrics & Gynecology in Paradise, CA