Se J Park, NP-C, DNP in Irvine, CA - Medicare Nurse Practitioner

Se J Park, NP-C, DNP is a medicare enrolled "Nurse Practitioner" in Irvine, California. He went to Emory University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Wellstar Medical Group Llc and his current practice location is 1000 Fivepoint, Irvine, California. You can reach out to his office (for appointments etc.) via phone at (800) 826-4673.

Se J Park is licensed to practice in California (license number 95023379) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871031518.

Contact Information

	Se J Park, NP-C, DNP
	1000 Fivepoint, Irvine, CA 92618-2377
	(800) 826-4673
	Not Available

Map and Direction

Provider's Profile

Full Name	Se J Park
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	1000 Fivepoint, Irvine, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Se J Park attended and graduated from Emory University School Of Medicine in 2016

NPI Data:

NPI Number: 1871031518
Provider Enumeration Date: 02/02/2017
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 3971887472
Enrollment ID: I20170301000739

Medical Identifiers

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

Identifier	Type	State	Issuer
1871031518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN243386 (Georgia)	Secondary
363L00000X	Nurse Practitioner	95023379 (California)	Primary
363LG0600X	Nurse Practitioner - Gerontology	95023379 (California)	Secondary
363L00000X	Nurse Practitioner	RN243386 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Kennestone Hospital	Marietta, GA	Hospital
Hoag Memorial Hospital Presbyterian	Newport beach, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group Llc	6709065402	2734

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. Se J Park allows following entities to bill medicare on his behalf.

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Se J 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
Se J Park, NP-C, DNP Po Box 512185, Los Angeles, CA 90051-0185 Ph: () -	Se J Park, NP-C, DNP 1000 Fivepoint, Irvine, CA 92618-2377 Ph: (800) 826-4673

Reviews and Comments

Nurse Practitioner Nurses in Irvine, CA

Katherine Lin Matsumoto, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 E Yale Loop Ste 204, Irvine, CA 92604 Phone: 949-732-3530 Fax: 949-732-3533
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Mrs. Amber Hardy Rickner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329
Tina Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19742 Macarthur Blvd Ste 101, Irvine, CA 92612 Phone: 949-955-0202 Fax: 949-955-0203
Kelly Eguchi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17782 Cowan Ste A, Irvine, CA 92614 Phone: 949-722-7118
Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870
Mrs. Medjinn Thomas, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2801 Kelvin Ave Unit 381, Irvine, CA 92614 Phone: 610-568-0201

Se J Park, NP-C, DNP - Medicare Nurse Practitioner in Irvine, CA