Jaryn Park, MD in Antioch, CA - Medicare Internal Medicine

Jaryn Park, MD is a medicare enrolled "Internal Medicine" physician in Antioch, California. Her current practice location is 3901 Lone Tree Way, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 756-1192.

Jaryn Park is licensed to practice in California (license number A132906) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639458540.

Contact Information

	Jaryn Park, MD
	3901 Lone Tree Way, Antioch, CA 94509-6200
	(925) 756-1192
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaryn Park
Gender	Female
Speciality	Internal Medicine
Location	3901 Lone Tree Way, Antioch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639458540
Provider Enumeration Date: 08/09/2011
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 2163640756
Enrollment ID: I20150204002502

Medical Identifiers

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

Identifier	Type	State	Issuer
1639458540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A132906 (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. Jaryn Park allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Entity Name	Faxton-st Lukes Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433

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. Jaryn 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
Jaryn Park, MD 3687 Mt Diablo Blvd, Suite 200, Lafayette, CA 94549-3717 Ph: () -	Jaryn Park, MD 3901 Lone Tree Way, Antioch, CA 94509-6200 Ph: (925) 756-1192

Reviews and Comments

Internal Medicine Doctors in Antioch, CA

Chung M. Kung, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500
Prasad Pillai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4721 Dallas Ranch Rd, Antioch, CA 94531 Phone: 925-778-0679 Fax: 925-778-3567
Dr. Doris Sofia Galina-da Silva, DORIS GALINADA SILVA Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2370 Country Hills Dr Ste 101, Antioch, CA 94509 Phone: 925-779-9635 Fax: 925-779-9672
Dr. Patricia Anne Yabut Haro, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 916-854-6975 Fax: 916-854-6844
Dr. Kalyani Maganti, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3903 Lone Tree Way, Suite 205, Antioch, CA 94509 Phone: 925-754-8710 Fax: 925-754-0765
Al G. Sumaquial, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Delta Fair Blvd, Antioch, CA 94509 Phone: 925-779-5000
Veenu Goel Gupta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Lone Tree Way, Antioch, CA 94509 Phone: 925-756-1192

Jaryn Park, MD - Medicare Internal Medicine in Antioch, CA