Dr Christine Joohee Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Guadalupe, California. Her current practice location is
4723 W Main St, Guadalupe, California. You can reach out to her office (for appointments etc.) via phone at
(805) 361-4910.
Dr Christine Joohee Park is licensed to practice in California (license number A133839) 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 1790120053.
Physician's Profile
| Full Name | Dr Christine Joohee Park |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 4723 W Main St, Guadalupe, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790120053
- Provider Enumeration Date: 04/30/2013
- Last Update Date: 02/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830454982
- Enrollment ID: I20241106004025
Medical Identifiers
Medical identifiers for Dr Christine Joohee Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790120053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | V2806 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A133839 (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 Christine Joohee Park allows following entities to bill medicare on her behalf.
| Entity Name | Nazimuddin Mohammed Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710495569 PECOS PAC ID: 4284995051 Enrollment ID: O20180220000455 |
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| Entity Name | Compassionate Psychiatric Services Of Southlake Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295561801 PECOS PAC ID: 0749716942 Enrollment ID: O20241211003032 |
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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 Christine Joohee 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 Christine Joohee Park, MD 4723 W Main St Ste H, Guadalupe, CA 93434-1787 Ph: (805) 361-4910 | Dr Christine Joohee Park, MD 4723 W Main St, Guadalupe, CA 93434-1787 Ph: (805) 361-4910 |
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