Dr Jacqueline Jeeyung Park, MD in San Pablo, CA

Dr Jacqueline Jeeyung Park, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in San Pablo, California. She went to Yale University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 2089 Vale Rd, Suite 33, San Pablo, California. You can reach out to her office (for appointments etc.) via phone at (510) 234-5012.

Dr Jacqueline Jeeyung Park is licensed to practice in California (license number A 109036) 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 1346415247.

Contact Information

	Dr Jacqueline Jeeyung Park, MD
	2089 Vale Rd, Suite 33, San Pablo, CA 94806-3847
	(510) 234-5012
	(510) 234-4921

Map and Direction

Physician's Profile

Full Name	Dr Jacqueline Jeeyung Park
Gender	Female
Speciality	Gastroenterology
Experience	22 Years
Location	2089 Vale Rd, San Pablo, 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:

Dr Jacqueline Jeeyung Park attended and graduated from Yale University School Of Medicine in 2002

NPI Data:

NPI Number: 1346415247
Provider Enumeration Date: 04/23/2008
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 1052460169
Enrollment ID: I20090915000117

Medical Identifiers

Medical identifiers for Dr Jacqueline Jeeyung Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346415247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	234855-1 (New York)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	A 109036 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Oakland/richmond	Oakland, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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 Jacqueline Jeeyung Park allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Jacqueline Jeeyung 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
Dr Jacqueline Jeeyung Park, MD 2089 Vale Rd, Suite 33, San Pablo, CA 94806-3847 Ph: (510) 234-5012	Dr Jacqueline Jeeyung Park, MD 2089 Vale Rd, Suite 33, San Pablo, CA 94806-3847 Ph: (510) 234-5012

Reviews and Comments

Internal Medicine Doctors in San Pablo, CA

Dr. Stephen B. Arnold, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2101 Vale Rd, Suite 201, San Pablo, CA 94806 Phone: 510-233-9300 Fax: 510-233-9299
Dr. Gary B. Marcus, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2101 Vale Rd, Suite 201, San Pablo, CA 94806 Phone: 510-233-9300 Fax: 510-233-9299
Dr. Khosrow Afsari, FACP MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2089 Vale Rd, #21, San Pablo, CA 94806 Phone: 510-232-9065 Fax: 510-232-0805
Dr. Henry Albert Chen, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2101 Vale Rd, #201, San Pablo, CA 94806 Phone: 650-799-2389
Ernest Ivan Katler, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2101 Vale Road, Suite 101, San Pablo, CA 94806 Phone: 510-620-0496 Fax: 510-233-0538
Tuan Dang, M.D Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2000 Vale Road, San Pablo, CA 94806 Phone: 510-970-5140

Dr Jacqueline Jeeyung Park, MD - Medicare Gastroenterology in San Pablo, CA