Sung-keun Park, MD in San Leandro, CA - Medicare Anesthesiology

Sung-keun Park, MD is a medicare enrolled "Anesthesiology" physician in San Leandro, California. His current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-1000.

Sung-keun Park is licensed to practice in California (license number A62442) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346274909.

Contact Information

	Sung-keun Park, MD
	2500 Merced St, San Leandro, CA 94577-4201
	(510) 454-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Sung-keun Park
Gender	Male
Speciality	Anesthesiology
Location	2500 Merced St, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346274909
Provider Enumeration Date: 07/10/2006
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7315831583
Enrollment ID: I20101004001465

Medical Identifiers

Medical identifiers for Sung-keun Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346274909	NPI	-	NPPES
00A624420	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	A62442 (California)	Secondary
207L00000X	Anesthesiology	A62442 (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. Sung-keun Park allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Uday Jain M D Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558071696 PECOS PAC ID: 6709258999 Enrollment ID: O20230216002426

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. Sung-keun 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
Sung-keun Park, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000	Sung-keun Park, MD 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000

Reviews and Comments

Anesthesiology Doctors in San Leandro, CA

Dr. Shiena Sharma, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Dr. Paul Gillbanks, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15035 E 14th St, San Leandro, CA 94578 Phone: 510-276-2800 Fax: 510-276-2890
Ms. Solina Tith, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 562-221-6892
Jayaprada Achanta, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Sheena Sawant, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000
Dr. Toufan Razi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2410 Merced St, San Leandro, CA 94577 Phone: 510-278-2700 Fax: 510-278-2772
Dr. Hooman Darien Behravan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 13690 E 14th St, Suite 200, San Leandro, CA 94578 Phone: 510-614-9200 Fax: 510-614-9203

Sung-keun Park, MD - Medicare Anesthesiology in San Leandro, CA