Charles Park, MD is a medicare enrolled "Anesthesiology" physician in Calabasas, California. He went to Tulane University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Vp Anesthesia Partners Inc and his current practice location is
24723 Calle Largo, Calabasas, California. You can reach out to his office (for appointments etc.) via phone at
(818) 577-5654.
Charles Park is licensed to practice in California (license number A51947) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669408571.
Physician's Profile
| Full Name | Charles Park |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 33 Years |
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| Location | 24723 Calle Largo, Calabasas, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Park attended and graduated from Tulane University School Of Medicine in 1991
NPI Data:
- NPI Number: 1669408571
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 12/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587667167
- Enrollment ID: I20060821000530
Medical Identifiers
Medical identifiers for Charles Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669408571 | NPI | - | NPPES |
| 00A519471 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | A51947 (California) | Secondary |
| 207L00000X | Anesthesiology | A51947 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vp Anesthesia Partners Inc | 6002283363 | 15 |
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. Charles Park allows following entities to bill medicare on his behalf.
| Entity Name | Vp Anesthesia Partners Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518694173
PECOS PAC ID: 6002283363
Enrollment ID: O20221031001532 |
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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. Charles 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 |
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Charles Park, MD
24723 Calle Largo,
Calabasas, CA 91302-3014
Ph: (818) 577-5654 | Charles Park, MD
24723 Calle Largo,
Calabasas, CA 91302-3014
Ph: (818) 577-5654 |
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