Alice Park, MD in Stockton, CA - Medicare Psychiatry & Neurology

Alice Park, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Stockton, California. Her current practice location is 1305 Tommydon St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 476-5200.

Alice Park is licensed to practice in Texas (license number L8157) 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 1891795076.

Contact Information

	Alice Park, MD
	1305 Tommydon St, Stockton, CA 95210-3364
	(209) 476-5200
	Not Available

Map and Direction

Physician's Profile

Full Name	Alice Park
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	1305 Tommydon St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891795076
Provider Enumeration Date: 07/28/2005
Last Update Date: 12/27/2021

Medicare PECOS Information:

PECOS PAC ID: 0749252427
Enrollment ID: I20070419000745

Medical Identifiers

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

Identifier	Type	State	Issuer
1891795076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	L8157 (Texas)	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. Alice Park allows following entities to bill medicare on her behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Alice 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
Alice Park, MD 3749 Whispering Creek Cir, Stockton, CA 95219-2329 Ph: (209) 952-5156	Alice Park, MD 1305 Tommydon St, Stockton, CA 95210-3364 Ph: (209) 476-5200

Reviews and Comments

Psychiatry & Neurology Doctors in Stockton, CA

Vikram Malhotra, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7707 Austin Rd, Stockton, CA 95215 Phone: 209-467-1494
Zeba Fatima Vanek, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005 Fax: 209-645-6344
John A. Traylor, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Dr. Meherji A Oshtory, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2626 N Califonia St, Suite I, Stockton, CA 95204 Phone: 209-944-5730 Fax: 209-944-0129
Mrs. Paramjit Kaur Gill, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1805 N California St, Suite 202, Stockton, CA 95204 Phone: 209-467-1500 Fax: 209-467-1502
Shree L. Bhaskar, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Dr. Stephanie Dong, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1805 N California St Ste 201, Stockton, CA 95204 Phone: 209-645-4005

Alice Park, MD - Medicare Psychiatry & Neurology in Stockton, CA