Ellen Park, DDS in Redlands, CA - Medicare Dentist Provider

Ellen Park, DDS is a medicare enrolled "Dentist" provider in Redlands, California. Her current practice location is 620 Alabama St, Redlands, California. You can reach out to her office (for appointments etc.) via phone at (909) 798-5010.

Ellen Park is licensed to practice in California (license number 100651) 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 1508310673.

Contact Information

	Ellen Park, DDS
	620 Alabama St, Redlands, CA 92373-8059
	(909) 798-5010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Park
Gender	Female
Speciality	Dentist
Location	620 Alabama St, Redlands, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508310673
Provider Enumeration Date: 08/06/2016
Last Update Date: 08/06/2016

Medicare PECOS Information:

PECOS PAC ID: 3971930330
Enrollment ID: I20200224002355

Medical Identifiers

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

Identifier	Type	State	Issuer
1508310673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	100651 (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. Ellen Park allows following entities to bill medicare on her behalf.

Entity Name	Korean Health Education Information And Research Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437377454 PECOS PAC ID: 9638180524 Enrollment ID: O20060505000908

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. Ellen 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
Ellen Park, DDS 620 Alabama St, Redlands, CA 92373-8059 Ph: (909) 798-5010	Ellen Park, DDS 620 Alabama St, Redlands, CA 92373-8059 Ph: (909) 798-5010

Reviews and Comments

Dentist in Redlands, CA

Dr. Rodney Michael Collins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 407 Brookside Ave, Redlands, CA 92373 Phone: 909-335-3644 Fax: 909-335-3641
Dr. Joseph Ireland Whedbee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 414 Tennessee St, Suite K-1, Redlands, CA 92373 Phone: 909-798-4004
Dr. Christopher Michael Sechrist, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 E Citrus Ave, Suite 201, Redlands, CA 92373 Phone: 909-435-4995
Meena Adami, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 Jennifer St, Redlands, CA 92373 Phone: 501-766-6479
Dr. Brian W Kwong, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 303 Brookside Ave, Redlands, CA 92373 Phone: 909-793-8837 Fax: 909-987-9193
Sharlyn Ziprick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1233 Brookside Ave Ste A, Redlands, CA 92373 Phone: 909-793-6700
Dr. Patrick Joseph Hachee, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 506 W Colton Ave, Redlands, CA 92374 Phone: 909-792-9430

Ellen Park, DDS - Medicare Dentist in Redlands, CA