Dr Jean Park, MD MPH in Fontana, CA - Medicare Obstetrics/gynecology

Dr Jean Park, MD MPH is a medicare enrolled "Obstetrics & Gynecology" physician in Fontana, California. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 9985 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5629.

Dr Jean Park is licensed to practice in California (license number A117145) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205098183.

Contact Information

	Dr Jean Park, MD MPH
	9985 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-5629
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jean Park
Gender	Female
Speciality	Obstetrics/gynecology
Experience	20 Years
Location	9985 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jean Park graduated from medical school in 2004

NPI Data:

NPI Number: 1205098183
Provider Enumeration Date: 07/01/2008
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4981876810
Enrollment ID: I20111018000663

Medical Identifiers

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

Identifier	Type	State	Issuer
1205098183	NPI	-	NPPES
11014577A	Other	IN	STATE LICENSE
A117145	Other	CA	CALIFORNIA MEDICAL BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	11014577A (Indiana)	Secondary
207V00000X	Obstetrics & Gynecology	A117145 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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 Jean Park allows following entities to bill medicare on her 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 Jean 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 Jean Park, MD MPH 9985 Sierra Ave, Fontana, CA 92335-6720 Ph: () -	Dr Jean Park, MD MPH 9985 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5629

Reviews and Comments

Obstetrics & Gynecology Doctors in Fontana, CA

Suzanne Cao, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-6538
Amy W Zhai, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana Medical Ctr, Dept Of Ob/gyn, Fontana, CA 92335 Phone: 909-427-5279
Dr. Erica Chia-chi Medina, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 833-574-2273
Norry E. Huffman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Jessica Boksberger Iskander, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-4377
Robert G. Pretorius, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Stephen Cheng-wen Chao, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8110 Mango Ave Ste 106, Fontana, CA 92335 Phone: 909-266-0090

Dr Jean Park, MD MPH - Medicare Obstetrics/gynecology in Fontana, CA