Dr Kenneth J Park, DO in Redlands, CA - Medicare Obstetrics/gynecology

Dr Kenneth J Park, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Redlands, California. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Beaver Medical Group Pc and his current practice location is 2 W Fern Ave, Redlands, California. You can reach out to his office (for appointments etc.) via phone at (909) 793-3311.

Dr Kenneth J Park is licensed to practice in California (license number 14077) 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 1457643215.

Contact Information

	Dr Kenneth J Park, DO
	2 W Fern Ave, Redlands, CA 92373
	(909) 793-3311
	(805) 354-7102

Map and Direction

Physician's Profile

Full Name	Dr Kenneth J Park
Gender	Male
Speciality	Obstetrics/gynecology
Experience	13 Years
Location	2 W Fern Ave, Redlands, 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 Kenneth J Park graduated from medical school in 2011

NPI Data:

NPI Number: 1457643215
Provider Enumeration Date: 05/11/2011
Last Update Date: 08/21/2018

Medicare PECOS Information:

PECOS PAC ID: 5597074260
Enrollment ID: I20151020001107

Medical Identifiers

Medical identifiers for Dr Kenneth J Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457643215	NPI	-	NPPES
CB243726	Other	CA	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	14077 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaver Medical Group Pc	0547164295	259

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 Kenneth J Park allows following entities to bill medicare on his behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Obhg California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826

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 Kenneth J 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 Kenneth J Park, DO 1615 Orange Tree Ln, Redlands, CA 92374-4501 Ph: (909) 786-0725	Dr Kenneth J Park, DO 2 W Fern Ave, Redlands, CA 92373 Ph: (909) 793-3311

Reviews and Comments

Obstetrics & Gynecology Doctors in Redlands, CA

Dr. Victoria Nicole Flores, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 570 Nevada St, Redlands, CA 92373 Phone: 562-412-9144
Dr. Karim Toursarkissian, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Dr. Christina Dolores Bennett-stewart, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Dr. Joseph H. Warren, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 222 S Buena Vista St, Redlands, CA 92373 Phone: 909-792-7770
Norie Sadjadi, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311
Han Li, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-786-0722
Dr. Hazem Qalla, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2 W Fern Ave, Redlands, CA 92373 Phone: 909-793-3311

Dr Kenneth J Park, DO - Medicare Obstetrics/gynecology in Redlands, CA