Brian Park, MD in Washington, DC - Medicare Diagnostic Radiology

Brian Park, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Washington, District Of Columbia. He went to Vanderbilt University School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (703) 614-2726.

Brian Park is licensed to practice in California (license number C54964) 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 1215027008.

Contact Information

	Brian Park, MD
	Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001
	(703) 614-2726
	(703) 614-1593

Map and Direction

Physician's Profile

Full Name	Brian Park
Gender	Male
Speciality	Diagnostic Radiology
Experience	14 Years
Location	Dilorezno Tricare Health Clinic, Washington, District Of Columbia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Park attended and graduated from Vanderbilt University School Of Medicine in 2012

NPI Data:

NPI Number: 1215027008
Provider Enumeration Date: 10/13/2006
Last Update Date: 11/18/2021

Medicare PECOS Information:

PECOS PAC ID: 7113180480
Enrollment ID: I20120523000729

Medical Identifiers

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

Identifier	Type	State	Issuer
1215027008	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	C54964 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Baldwin Park	Baldwin park, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Brian 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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Renaissance Imaging Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20031126000257

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. Brian 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
Brian Park, MD 18436 Roscoe Blvd, Northridge, CA 91325-4107 Ph: (855) 504-4544	Brian Park, MD Dilorezno Tricare Health Clinic, Federal Building 2, Rm 1345, Washington, DC 20370-0001 Ph: (703) 614-2726

Reviews and Comments

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Brian Park, MD - Medicare Diagnostic Radiology in Washington, DC