Lidia Park, - Medicare Pediatrics in Lodi, CA

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Lidia Park, is a medicare enrolled "Pediatrics" physician in Lodi, California. Her current practice location is 975 S Fairmont Ave, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 334-3411.

Lidia Park is licensed to practice in California (license number 182789) 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 1851927867.

Contact Information

Lidia Park,
975 S Fairmont Ave,
Lodi, CA 95240-5118
(209) 334-3411
Not Available

Map and Direction




Physician's Profile

Full NameLidia Park
GenderFemale
SpecialityPediatrics
Location975 S Fairmont Ave, Lodi, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851927867
  • Provider Enumeration Date: 03/21/2020
  • Last Update Date: 07/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335501717
  • Enrollment ID: I20230816004080

Medical Identifiers

Medical identifiers for Lidia Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851927867NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 182789 (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. Lidia Park allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Lidia 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 AddressPractice Location Address
Lidia Park,
3819 Roseparke Way,
Sacramento, CA 95834-2083

Ph: () -		Lidia Park,
975 S Fairmont Ave,
Lodi, CA 95240-5118

Ph: (209) 334-3411

Reviews and Comments


Pediatrics Doctors in Lodi, CA

Nedaa N Issa, M.D.
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Phone: 209-334-8540    Fax: 209-368-2885
Dr. Marietta Abellera Sumaquial, M.D.
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Phone: 209-370-1700    
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Phone: 209-366-1990    Fax: 209-473-9256
Lancy Lu,
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Practice Location: 975 S Fairmont Ave, Lodi, CA 95240
Phone: 209-339-7639    
Dr. Haeli Park, MD
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Practice Location: 975 S Fairmont Ave, Lodi, CA 95240
Phone: 209-339-7639    
Dr. Roy Anunciacion, M.D.
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Practice Location: 1920 Tienda Dr, Ste 102, Lodi, CA 95242
Phone: 209-368-8310    
Dr. Rosemary Nunez-davis, D.O.
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Medicare: Medicare Enrolled
Practice Location: 1901 W Kettleman Ln Ste 200, Lodi, CA 95242
Phone: 209-334-8540    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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