Dr Chan H Park, MD in Shafter, CA - Medicare Family Practice

Dr Chan H Park, MD is a medicare enrolled "Family Medicine" physician in Shafter, California. He went to Loma Linda University School Of Medicine and graduated in 1996 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Shafter Urgent Care, Vanguard Medical Corporation and his current practice location is 565 Kern St, Shafter, California. You can reach out to his office (for appointments etc.) via phone at (661) 746-4937.

Dr Chan H Park is licensed to practice in California (license number A068509) 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 1255336665.

Contact Information

	Dr Chan H Park, MD
	565 Kern St, Shafter, CA 93263-2133
	(661) 746-4937
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Chan H Park
Gender	Male
Speciality	Family Practice
Experience	30 Years
Location	565 Kern St, Shafter, California
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:

Dr Chan H Park attended and graduated from Loma Linda University School Of Medicine in 1996

NPI Data:

NPI Number: 1255336665
Provider Enumeration Date: 06/14/2005
Last Update Date: 05/01/2026

Medicare PECOS Information:

PECOS PAC ID: 7517995384
Enrollment ID: I20050908001225

Medical Identifiers

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

Identifier	Type	State	Issuer
1255336665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A068509 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Around The Clock Home Care	Bakersfield, CA	Home health agency
Adventist Health Bakersfield	Bakersfield, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shafter Urgent Care	9133494578	6
Vanguard Medical Corporation	4587881685	24

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 Chan H Park allows following entities to bill medicare on his behalf.

Entity Name	Vanguard Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609281310 PECOS PAC ID: 4587881685 Enrollment ID: O20140813002697

Entity Name	Shafter Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376994533 PECOS PAC ID: 9133494578 Enrollment ID: O20171010003689

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 Chan H 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 Chan H Park, MD 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 459-1010	Dr Chan H Park, MD 565 Kern St, Shafter, CA 93263-2133 Ph: (661) 746-4937

Reviews and Comments

Family Medicine Doctors in Shafter, CA

Michael L. Komin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1160 E Lerdo Hwy Ste H, Shafter, CA 93263 Phone: 661-746-1503 Fax: 855-576-4860
Jae Joon Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 Kern St, Shafter, CA 93263 Phone: 661-746-4937 Fax: 855-200-2829

Dr Chan H Park, MD - Medicare Family Practice in Shafter, CA