Dr Kyung I Park, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Stanton, California. He graduated from medical school in 1970 and has 54 years of diverse experience with area of expertise as Neurology. His current practice location is
12362 Beach Blvd, #10, Stanton, California. You can reach out to his office (for appointments etc.) via phone at
(714) 743-5733.
Dr Kyung I Park is licensed to practice in California (license number C50980) 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 1942210570.
Physician's Profile
Full Name | Dr Kyung I Park |
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Gender | Male |
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Speciality | Neurology |
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Experience | 54 Years |
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Location | 12362 Beach Blvd, Stanton, California |
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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 Kyung I Park graduated from medical school in 1970
NPI Data:
- NPI Number: 1942210570
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 04/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486549656
- Enrollment ID: I20040217000551
Medical Identifiers
Medical identifiers for Dr Kyung I Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942210570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | C50980 (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. Dr Kyung I Park allows following entities to bill medicare on his behalf.
Entity Name | Livingstone Community Development Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952662686 PECOS PAC ID: 9931323706 Enrollment ID: O20140724002386 |
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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 Kyung I 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 Kyung I Park, MD 12362 Beach Blvd, #10, Stanton, CA 90680-3935 Ph: (714) 248-9500 | Dr Kyung I Park, MD 12362 Beach Blvd, #10, Stanton, CA 90680-3935 Ph: (714) 743-5733 |
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