Edward Park, DO in San Jose, CA - Medicare Hospitalist

Edward Park, DO is a medicare enrolled "Hospitalist" physician in San Jose, California. His current practice location is 751 S Bascom Ave, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 885-5000.

Edward Park is licensed to practice in California (license number 20A21915) 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 1285255570.

Contact Information

	Edward Park, DO
	751 S Bascom Ave, San Jose, CA 95128-2604
	(408) 885-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward Park
Gender	Male
Speciality	Hospitalist
Location	751 S Bascom Ave, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285255570
Provider Enumeration Date: 04/28/2020
Last Update Date: 12/03/2023

Medicare PECOS Information:

PECOS PAC ID: 7012338551
Enrollment ID: I20231012000553

Medical Identifiers

Medical identifiers for Edward Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285255570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	20A21915 (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. Edward Park allows following entities to bill medicare on his behalf.

Entity Name	State Of Michigan Office Of Financial Management
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603

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. Edward 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
Edward Park, DO 210 Del Prado Dr, Campbell, CA 95008-1833 Ph: (408) 373-3139	Edward Park, DO 751 S Bascom Ave, San Jose, CA 95128-2604 Ph: (408) 885-5000

Reviews and Comments

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Trupti Y. Kapadia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
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Albert S. Lau, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Kelly Louis Crawford, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Leo Ramek, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Y. L. Pham, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Pallabi Sanyal-dey, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 510-350-2732 Fax: 510-879-9130

Edward Park, DO - Medicare Hospitalist in San Jose, CA