Dr Jin Hewa Park, DO - Medicare Family Medicine in Claremont, CA

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Dr Jin Hewa Park, DO is a medicare enrolled "Family Medicine" physician in Claremont, California. His current practice location is 250 W San Jose Ave, Claremont, California. You can reach out to his office (for appointments etc.) via phone at (909) 399-2063.

Dr Jin Hewa Park is licensed to practice in California (license number 20A6738) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992800353.

Contact Information

Dr Jin Hewa Park, DO
250 W San Jose Ave,
Claremont, CA 91711-5207
(909) 399-2063
Not Available

Map and Direction




Physician's Profile

Full NameDr Jin Hewa Park
GenderMale
SpecialityFamily Medicine
Location250 W San Jose Ave, Claremont, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992800353
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 12/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264423441
  • Enrollment ID: I20040518001534

Medical Identifiers

Medical identifiers for Dr Jin Hewa Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992800353NPI-NPPES
FHC11584GMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A6738 (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 Jin Hewa Park allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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 Jin Hewa 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 Jin Hewa Park, DO
19702 Sheila Ct,
Rowland Heights, CA 91748-3272

Ph: (909) 598-7147		Dr Jin Hewa Park, DO
250 W San Jose Ave,
Claremont, CA 91711-5207

Ph: (909) 399-2063

Reviews and Comments


Family Medicine Doctors in Claremont, CA

Jennie Yen Fang Ho, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 757 College Way, Claremont, CA 91711
Phone: 909-621-8222    Fax: 909-621-8472
Nicholle A Henley, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 Monte Vista Ave Ste 190, Claremont, CA 91711
Phone: 909-865-9977    
Yen Ingrid Lai, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 310 N Indian Hill Blvd # 240, Claremont, CA 91711
Phone: 909-244-8902    Fax: 714-482-4000
Millie Mae Hathaway, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1601 Monte Vista Ave Ste 100, Claremont, CA 91711
Phone: 909-630-7938    Fax: 909-469-2118
Seema Suresh Kamble,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Monte Vista Ave Ste 190, Claremont, CA 91711
Phone: 909-865-9977    Fax: 909-469-2119
Tina He Yun, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Monte Vista Ave Ste 100, Claremont, CA 91711
Phone: 909-630-7938    Fax: 909-469-2118
Jeffrey Ijadi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Monte Vista Ave, Suite 100, Claremont, CA 91711
Phone: 909-630-7938    Fax: 909-469-2118

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.