Peter Sang-wook Park, DPM in Fullerton, CA - Medicare Podiatry Provider

Peter Sang-wook Park, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fullerton, California. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Healthcare Partners Affiliates Medical Group, Centers For Family Medicine and his current practice location is 1501 W Commonwealth Ave, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 410-3100.

Peter Sang-wook Park is licensed to practice in California (license number E4031) 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 1104825033.

Contact Information

	Peter Sang-wook Park, DPM
	1501 W Commonwealth Ave, Fullerton, CA 92833-2727
	(714) 410-3100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Sang-wook Park
Gender	Male
Speciality	Podiatry
Experience	29 Years
Location	1501 W Commonwealth Ave, Fullerton, 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:

Peter Sang-wook Park graduated from medical school in 1995

NPI Data:

NPI Number: 1104825033
Provider Enumeration Date: 07/21/2005
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 3971587353
Enrollment ID: I20040614001647

Medical Identifiers

Medical identifiers for Peter Sang-wook Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104825033	NPI	-	NPPES
00E40310	Other	CA	MEDI CAL
1104825033	Other	CA	NPI
CE813A	Other	CA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	E4031 (California)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	E4031 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthcare Partners Affiliates Medical Group	7315842002	658
Centers For Family Medicine	9931143799	122

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. Peter Sang-wook Park allows following entities to bill medicare on his behalf.

Provider Name	Healthcare Partners Affiliates Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

Provider Name	Centers For Family Medicine
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1467598243 PECOS PAC ID: 9931143799 Enrollment ID: O20050614000191

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. Peter Sang-wook 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
Peter Sang-wook Park, DPM 1417 Stein Strauss St, Fullerton, CA 92833-2159 Ph: (714) 797-3668	Peter Sang-wook Park, DPM 1501 W Commonwealth Ave, Fullerton, CA 92833-2727 Ph: (714) 410-3100

Reviews and Comments

Podiatrist in Fullerton, CA

David James Rizzo, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2629 Monterey Pl, Fullerton, CA 92833 Phone: 714-879-8521 Fax: 714-879-8521
Eric Naasz Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 704 N Harbor Blvd, Fullerton, CA 92832 Phone: 714-525-0225 Fax: 714-525-0241
Dr. Lisbeth Marie Keplinger, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8674 Fax: 714-626-8683
Dale M. Rosenblum, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 704 N Harbor Blvd, Fullerton, CA 92832 Phone: 714-525-8282 Fax: 714-525-0141
Dr. Dale M Rosenblum, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 704 N Harbor Blvd, Fullerton, CA 92832 Phone: 714-525-8282 Fax: 714-525-0141
Ms. Serra Eugenie Park Ryu, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 300 N Euclid St, Suite A, Fullerton, CA 92832 Phone: 714-888-6860

Peter Sang-wook Park, DPM - Medicare Podiatrist in Fullerton, CA