Andrea Park, in Los Angeles, CA - Medicare Otolaryngology

Andrea Park, is a medicare enrolled "Otolaryngology" physician in Los Angeles, California. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Ucsf Medical Group Business Services and her current practice location is 200 Medical Plaza, Ste 550, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 206-6688.

Andrea Park is licensed to practice in California (license number A148086) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396066205.

Contact Information

	Andrea Park,
	200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000
	(310) 206-6688
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrea Park
Gender	Female
Speciality	Otolaryngology
Experience	14 Years
Location	200 Medical Plaza, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrea Park attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2010

NPI Data:

NPI Number: 1396066205
Provider Enumeration Date: 06/15/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3577792712
Enrollment ID: I20170524000678

Medical Identifiers

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

Identifier	Type	State	Issuer
1396066205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2010017830 (Missouri)	Secondary
207Y00000X	Otolaryngology	A148086 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ucsf Medical Center	San francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ucsf Medical Group Business Services	3779497870	1092

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. Andrea Park allows following entities to bill medicare on her behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154396208 PECOS PAC ID: 5496668410 Enrollment ID: O20031113000632

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	City & County Of San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770

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. Andrea 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
Andrea Park, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (314) 747-0553	Andrea Park, 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 Ph: (310) 206-6688

Reviews and Comments

Otolaryngology Doctors in Los Angeles, CA

Dr. Marc D Levy, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 12021 Wilmington Ave, Dept Of Otolaryngology, Los Angeles, CA 90059 Phone: 310-668-4536
Geoffrey B Trenkle, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave Ste 2500, Los Angeles, CA 90033 Phone: 323-268-6731 Fax: 323-268-6738
Dr. Roxana Moayer, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 5100, Los Angeles, CA 90033 Phone: 323-442-5790
Joel Avram Sercarz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plz, #550, Los Angeles, CA 90095 Phone: 310-206-6688
Maie Abdul-rahman St John, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Plaza, #550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-206-4105
Alisa Zhukhovitskaya, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 550, Los Angeles, CA 90095 Phone: 310-206-6688 Fax: 310-825-2810
Margaret Crystal Nurimba, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1200 N. State Street, Clinic Tower, Suite A2e, Los Angeles, CA 90033 Phone: 323-442-4830

Andrea Park, - Medicare Otolaryngology in Los Angeles, CA