Ji Yeon Park, DO in Colton, CA - Medicare Internal Medicine

Ji Yeon Park, DO is a medicare enrolled "Internal Medicine" physician in Colton, California. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Medical Foundation and her current practice location is 400 N Pepper Ave, Colton, California. You can reach out to her office (for appointments etc.) via phone at (909) 580-6266.

Ji Yeon Park is licensed to practice in California (license number 20A16572) 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 1295189850.

Contact Information

	Ji Yeon Park, DO
	400 N Pepper Ave, Colton, CA 92324-1801
	(909) 580-6266
	Not Available

Map and Direction

Physician's Profile

Full Name	Ji Yeon Park
Gender	Female
Speciality	Internal Medicine
Experience	8 Years
Location	400 N Pepper Ave, Colton, 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:

Ji Yeon Park graduated from medical school in 2016

NPI Data:

NPI Number: 1295189850
Provider Enumeration Date: 04/20/2016
Last Update Date: 12/10/2021

Medicare PECOS Information:

PECOS PAC ID: 0244562213
Enrollment ID: I20191023002651

Medical Identifiers

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

Identifier	Type	State	Issuer
1295189850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	20A16572 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Orange, CA	Hospital
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Ji Yeon Park allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Quantum Healthcare Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568490597 PECOS PAC ID: 5294647574 Enrollment ID: O20040924000422

Entity Name	Clinic Services Of California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578958450 PECOS PAC ID: 7810209715 Enrollment ID: O20150707001394

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. Ji Yeon 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
Ji Yeon Park, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: () -	Ji Yeon Park, DO 400 N Pepper Ave, Colton, CA 92324-1801 Ph: (909) 580-6266

Reviews and Comments

Internal Medicine Doctors in Colton, CA

Dr. Curtis Daniel Converse, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Gilbert Chen, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6343
Dr. Roy Chi Wing Lung, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Neeka Shayan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 204, Colton, CA 92324 Phone: 909-580-6266
Dr. Molood Hadi, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-1000
Dr. Sunil Kumar Nowrangi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6275 Fax: 909-580-6275
Joji James, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-835-7496

Ji Yeon Park, DO - Medicare Internal Medicine in Colton, CA