Paul Park, in Twentynine Palms, CA - Medicare Dentist Provider

Paul Park, is a medicare enrolled "Dentist" provider in Twentynine Palms, California. His current practice location is 72724 29 Palms Hwy Ste 102, Twentynine Palms, California. You can reach out to his office (for appointments etc.) via phone at (760) 367-9531.

Paul Park is licensed to practice in California (license number 64589) 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 1215311832.

Contact Information

	Paul Park,
	72724 29 Palms Hwy Ste 102, Twentynine Palms, CA 92277-2459
	(760) 367-9531
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Park
Gender	Male
Speciality	Dentist
Location	72724 29 Palms Hwy Ste 102, Twentynine Palms, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215311832
Provider Enumeration Date: 07/14/2015
Last Update Date: 07/14/2015

Medicare PECOS Information:

PECOS PAC ID: 9436434610
Enrollment ID: I20170330002535

Medical Identifiers

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

Identifier	Type	State	Issuer
1215311832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	64589 (California)	Primary

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. Paul 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
Paul Park, 72724 29 Palms Hwy Ste 102, Twentynine Palms, CA 92277-2459 Ph: () -	Paul Park, 72724 29 Palms Hwy Ste 102, Twentynine Palms, CA 92277-2459 Ph: (760) 367-9531

Reviews and Comments

Dentist in Twentynine Palms, CA

Dr. Renee Eunhae Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Po Box 788250, Twentynine Palms, CA 92278 Phone: 760-830-2117 Fax: 760-830-2011
An Van Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 73666 Joshua Dr, Twentynine Palms, CA 92277 Phone: 760-666-3711 Fax: 760-673-7321
George Chao, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1591 Griffin Road, Twentynine Palms, CA 92278 Phone: 760-830-7054 Fax: 760-830-7074
Dr. Christopher Masaki Shimizu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1591 Griffin Road, Twentynine Palms, CA 92277 Phone: 760-830-7054
Dr. Francis Hanckel Walpole Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1591 Griffin Road, Twentynine Palms, CA 92278 Phone: 760-830-7054
Seraphina Oney, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1591 Griffin Road, Twentynine Palms, CA 92278 Phone: 760-830-7054

Paul Park, - Medicare Dentist in Twentynine Palms, CA