Judith J Park, MD in Richmond, CA

Judith J Park, MD is a medicare enrolled "Surgery" physician in Richmond, California. Her current practice location is 901 Nevin Ave, Richmond, California. You can reach out to her office (for appointments etc.) via phone at (510) 307-1500.

Judith J Park is licensed to practice in California (license number A67521) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205908019.

Contact Information

	Judith J Park, MD
	901 Nevin Ave, Richmond, CA 94801-3143
	(510) 307-1500
	Not Available

Map and Direction

Physician's Profile

Full Name	Judith J Park
Gender	Female
Speciality	Surgery
Location	901 Nevin Ave, Richmond, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205908019
Provider Enumeration Date: 11/15/2006
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 3971789942
Enrollment ID: I20110510000172

Medical Identifiers

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

Identifier	Type	State	Issuer
1205908019	NPI	-	NPPES
00A675210	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	A67521 (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. Judith J Park allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Judith 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
Judith J Park, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Judith J Park, MD 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1500

Reviews and Comments

Surgery Doctors in Richmond, CA

Jennifer A. Greer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Aaron G. Baggs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Dr. Rouzbeh Mostaedi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Medical Office Building 1, 3rd Floor, Richmond, CA 94801 Phone: 510-307-2450
Melissa C. Chu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
David P. Fisher, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500
Albert H. Im, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500

Judith J Park, MD - Medicare Surgery in Richmond, CA