Jennifer Lynne Park, DO in San Diego, CA - Medicare Internal Medicine

Jennifer Lynne Park, DO is a medicare enrolled "Internal Medicine" physician in San Diego, California. Her current practice location is 3811 Valley Centre Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 554-7272.

Jennifer Lynne Park is licensed to practice in California (license number 20A21312) 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 1770875965.

Contact Information

	Jennifer Lynne Park, DO
	3811 Valley Centre Dr, San Diego, CA 92130-3318
	(858) 554-7272
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Lynne Park
Gender	Female
Speciality	Internal Medicine
Location	3811 Valley Centre Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770875965
Provider Enumeration Date: 05/06/2011
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0042520652
Enrollment ID: I20230824001058

Medical Identifiers

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

Identifier	Type	State	Issuer
1770875965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	60566 (Wisconsin)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	60566 (Wisconsin)	Secondary
207R00000X	Internal Medicine	20A21312 (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. Jennifer Lynne Park allows following entities to bill medicare on her behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

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. Jennifer Lynne 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
Jennifer Lynne Park, DO 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 554-7272	Jennifer Lynne Park, DO 3811 Valley Centre Dr, San Diego, CA 92130-3318 Ph: (858) 554-7272

Reviews and Comments

Internal Medicine Doctors in San Diego, CA

Dr. Ramin Motarjemi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-249-2500 Fax: 858-657-8069
Dr. Shweta Warner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-221-6258 Fax: 619-221-6012
Dr. Matthew James Roosevelt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, Department Of Hospital Medicine, San Diego, CA 92120 Phone: 619-952-5091
Marin Nishimura-kaminski, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Belicia Kuang-chieh Ding, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Jedidiah Daniel Bell, Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 619-471-0434
Dr. Umber Dube, MD PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Jennifer Lynne Park, DO - Medicare Internal Medicine in San Diego, CA