Mi N Park, - Medicare Counselor in Los Angeles, CA

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Mi N Park, is a medicare enrolled "Psychologist" provider in Los Angeles, California. Her current practice location is 300 Medical Plz Ste 1253, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 794-4008.

Mi N Park is licensed to practice in California (license number PSY27071) 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 1013140268.

Contact Information

Mi N Park,
300 Medical Plz Ste 1253,
Los Angeles, CA 90095-6967
(310) 794-4008
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMi N Park
GenderFemale
SpecialityPsychologist
Location300 Medical Plz Ste 1253, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013140268
  • Provider Enumeration Date: 09/03/2009
  • Last Update Date: 07/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3870814163
  • Enrollment ID: I20150611003195

Medical Identifiers

Medical identifiers for Mi N Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013140268NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
103T00000XPsychologist PSY27071 (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. Mi N Park allows following entities to bill medicare on her behalf.
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750368999
PECOS PAC ID: 0749180453
Enrollment ID: O20040109000819
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameUcsf Psychiatry
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427105279
PECOS PAC ID: 4981680832
Enrollment ID: O20040629001513

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. Mi N 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
Mi N Park,
300 Medical Plz Ste 1253,
Los Angeles, CA 90095-6967

Ph: (310) 794-4008		Mi N Park,
300 Medical Plz Ste 1253,
Los Angeles, CA 90095-6967

Ph: (310) 794-4008

Reviews and Comments


Psychologist in Los Angeles, CA


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.