Dr Samuel K Park, MD in Newport Beach, CA

Dr Samuel K Park, MD is a medicare enrolled "Family Medicine" physician in Newport Beach, California. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Avera Mckennan, Osceola Community Hospital Inc and his current practice location is 20072 Sw Birch St Ste 100, Newport Beach, California. You can reach out to his office (for appointments etc.) via phone at (949) 757-1150.

Dr Samuel K Park is licensed to practice in California (license number A050474) 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 1497832661.

Contact Information

	Dr Samuel K Park, MD
	20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794
	(949) 757-1150
	(949) 757-1170

Map and Direction

Physician's Profile

Full Name	Dr Samuel K Park
Gender	Male
Speciality	Family Practice
Experience	36 Years
Location	20072 Sw Birch St Ste 100, Newport Beach, 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 Samuel K Park graduated from medical school in 1988

NPI Data:

NPI Number: 1497832661
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9133157407
Enrollment ID: I20181114000933

Medical Identifiers

Medical identifiers for Dr Samuel K Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497832661	NPI	-	NPPES
GR0088240	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A050474 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Osceola Community Hospital	Sibley, IA	Hospital
Mission Hospital Regional Med Center	Mission viejo, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Avera Mckennan	0345157103	833
Osceola Community Hospital Inc	5799692372	4

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 Samuel K Park allows following entities to bill medicare on his behalf.

Entity Name	Avera Mckennan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336111962 PECOS PAC ID: 0345157103 Enrollment ID: O20040206000384

Entity Name	Osceola Community Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780751222 PECOS PAC ID: 5799692372 Enrollment ID: O20040310001378

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 Samuel K 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 Samuel K Park, MD 20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794 Ph: (949) 757-1150	Dr Samuel K Park, MD 20072 Sw Birch St Ste 100, Newport Beach, CA 92660-0794 Ph: (949) 757-1150

Reviews and Comments

Family Medicine Doctors in Newport Beach, CA

Atef Khouzam, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 361 Hospital Rd, 322, Newport Beach, CA 92663 Phone: 949-574-0777 Fax: 949-650-3505
Carol Shi, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1441 Avocado Ave Ste 503, Newport Beach, CA 92660 Phone: 949-718-9020 Fax: 949-718-9040
Dr. Todd Andrew Forman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 W Coast Hwy, Suite 500, Newport Beach, CA 92663 Phone: 949-646-7733 Fax: 949-646-6678
Dr. John Paul Laura, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3333 W Coast Hwy, # 500, Newport Beach, CA 92663 Phone: 949-646-0077 Fax: 949-646-6678
Kristin Masukawa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Macarthur Blvd Ste 110, Newport Beach, CA 92660 Phone: 949-445-8768
Dr. Vincent D Nguyen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr Bldg 41, Newport Beach, CA 92663 Phone: 949-764-7647 Fax: 657-241-7720
Dr. John G Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Placentia Ave, Suite 103, Newport Beach, CA 92663 Phone: 949-645-6412 Fax: 949-645-8442

Dr Samuel K Park, MD - Medicare Family Practice in Newport Beach, CA