Dr Caroline Park, MD PHD - Medicare Family Medicine in Los Angeles, CA

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Dr Caroline Park, MD PHD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Los Angeles, California. Her current practice location is 1520 San Pablo St Ste 1300, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-5900.

Dr Caroline Park is licensed to practice in California (license number A170021) 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 1396270989.

Contact Information

Dr Caroline Park, MD PHD
1520 San Pablo St Ste 1300,
Los Angeles, CA 90033-5312
(323) 442-5900
Not Available

Map and Direction




Physician's Profile

Full NameDr Caroline Park
GenderFemale
SpecialityFamily Medicine - Geriatric Medicine
Location1520 San Pablo St Ste 1300, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396270989
  • Provider Enumeration Date: 04/21/2017
  • Last Update Date: 09/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840536157
  • Enrollment ID: I20240212001458

Medical Identifiers

Medical identifiers for Dr Caroline Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396270989NPI-NPPES
390200000XOtherNYMOUNT SINAI BETH ISRAEL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine A170021 (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 Caroline Park allows following entities to bill medicare on her behalf.
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659450955
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000757
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Other Medical Care Group
Entity IdentifiersNPI Number: 1629301346
PECOS PAC ID: 1254244973
Enrollment ID: O20110318000170

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 Caroline 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 AddressPractice Location Address
Dr Caroline Park, MD PHD
Po Box 31309,
Los Angeles, CA 90031-0309

Ph: (323) 442-5900		Dr Caroline Park, MD PHD
1520 San Pablo St Ste 1300,
Los Angeles, CA 90033-5312

Ph: (323) 442-5900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.