Dr Sung Wook Park, DDS in La Mirada, CA - Medicare Dentist Provider

Dr Sung Wook Park, DDS is a medicare enrolled "Dentist" provider in La Mirada, California. His current practice location is 14930 Imperial Hwy Ste D, La Mirada, California. You can reach out to his office (for appointments etc.) via phone at (562) 777-1234.

Dr Sung Wook Park is licensed to practice in California (license number 101539) 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 1578088779.

Contact Information

	Dr Sung Wook Park, DDS
	14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100
	(562) 777-1234
	(562) 777-2345

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sung Wook Park
Gender	Male
Speciality	Dentist
Location	14930 Imperial Hwy Ste D, La Mirada, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578088779
Provider Enumeration Date: 08/08/2017
Last Update Date: 08/16/2020

Medicare PECOS Information:

PECOS PAC ID: 8527321827
Enrollment ID: I20180419002742

Medical Identifiers

Medical identifiers for Dr Sung Wook Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578088779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	101539 (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 Sung Wook Park allows following entities to bill medicare on his behalf.

Entity Name	Albert Oh Dentistry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184133076 PECOS PAC ID: 0042573776 Enrollment ID: O20180411001711

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 Sung 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
Dr Sung Wook Park, DDS 80 Meander, Irvine, CA 92620-7362 Ph: (909) 553-3786	Dr Sung Wook Park, DDS 14930 Imperial Hwy Ste D, La Mirada, CA 90638-2100 Ph: (562) 777-1234

Reviews and Comments

Dentist in La Mirada, CA

Dr. Magdy W Gad, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12252 La Mirada Blvd, La Mirada, CA 90638 Phone: 562-943-0151 Fax: 562-943-6431
Dr. Sam Cho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15020 Imperial Hwy, La Mirada, CA 90638 Phone: 562-902-0393 Fax: 562-902-4984
Dr. Sergio G. Ocampo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15769 Imperial Hwy, La Mirada, CA 90638 Phone: 562-902-9898 Fax: 562-902-9797
Babak Yousefi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12271 La Mirada Blvd, #202, La Mirada, CA 90638 Phone: 562-944-8408 Fax: 562-944-4290
Sharon Han, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15088 Imperial Hwy, La Mirada, CA 90638 Phone: 213-591-2886
Dr. Dong Ho Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15072 Rosecrans Ave, La Mirada, CA 90638 Phone: 714-522-5152 Fax: 714-522-5162
Tae Kyun Ha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638 Phone: 562-445-3555

Dr Sung Wook Park, DDS - Medicare Dentist in La Mirada, CA