Dr Jong Chan Park, MD in Santa Clara, CA

Dr Jong Chan Park, MD is a medicare enrolled "Internal Medicine" physician in Santa Clara, California. He went to University Of Arkansas College Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 900 Kiely Blvd, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (808) 236-5253.

Dr Jong Chan Park is licensed to practice in California (license number A97025) 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 1801826904.

Contact Information

	Dr Jong Chan Park, MD
	900 Kiely Blvd, Santa Clara, CA 95051-5329
	(808) 236-5253
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Jong Chan Park
Gender	Male
Speciality	Neurology
Experience	25 Years
Location	900 Kiely Blvd, Santa Clara, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jong Chan Park attended and graduated from University Of Arkansas College Of Medicine in 2000

NPI Data:

NPI Number: 1801826904
Provider Enumeration Date: 07/04/2006
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 1850454315
Enrollment ID: I20090108000725

Medical Identifiers

Medical identifiers for Dr Jong Chan Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801826904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A97025 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - West La	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Jong Chan Park allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Jong Chan 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 Jong Chan Park, MD Hospital Medicine, 3rd Floor, 700 Lawrence Expressway, Santa Clara, CA 95051 Ph: (408) 851-7600	Dr Jong Chan Park, MD 900 Kiely Blvd, Santa Clara, CA 95051-5329 Ph: (808) 236-5253

Reviews and Comments

Internal Medicine Doctors in Santa Clara, CA

Uma Devi Kantamuneni, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 3655 Pruneridge Ave Apt 224, Santa Clara, CA 95051 Phone: 408-564-7469
Hui Wu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-605-7333
Mr. Krisna P Chai, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Alan H. Man, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Melody Chung, Internal Medicine Medicare: Medicare Enrolled Practice Location: 700 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-3830
Inna Strugatsky, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-739-6000
Asma Habib, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2734 El Camino Real, Santa Clara, CA 95051 Phone: 408-241-3801

Dr Jong Chan Park, MD - Medicare Neurology in Santa Clara, CA