Kelly Park, DO in Antioch, CA

Kelly Park, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Antioch, California. Her current practice location is 4501 Sand Creek Rd, Antioch, California. You can reach out to her office (for appointments etc.) via phone at (925) 813-6500.

Kelly Park is licensed to practice in California (license number 20007) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346536349.

Contact Information

	Kelly Park, DO
	4501 Sand Creek Rd, Antioch, CA 94531-8687
	(925) 813-6500
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Park
Gender	Female
Speciality
Experience	Years
Location	4501 Sand Creek Rd, Antioch, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Park attended and graduated from in

NPI Data:

NPI Number: 1346536349
Provider Enumeration Date: 06/28/2011
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1346536349	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	25MB10893000 (New Jersey)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207V00000X	Obstetrics & Gynecology	20007 (California)	Primary

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. Kelly 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
Kelly Park, DO 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: () -	Kelly Park, DO 4501 Sand Creek Rd, Antioch, CA 94531-8687 Ph: (925) 813-6500

Reviews and Comments

Obstetrics & Gynecology Doctors in Antioch, CA

Jessica Lennon, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4053 Lone Tree Way Ste 100, Antioch, CA 94531 Phone: 925-756-3400
Dr. Daniel L Zimmerman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3737 Lone Tree Way, Antioch, CA 94509 Phone: 925-754-9223 Fax: 925-754-3945
Anahita Latorra, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-3400
Kyla Ai-lan Yee, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4053 Lone Tree Way, #101, Antioch, CA 94531 Phone: 925-756-3400 Fax: 925-757-0849
Mary C. Klemm, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5601 Deer Valley Rd, Antioch, CA 94531 Phone: 925-813-6500
Nicole Kathryn Shelton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4501 Sand Creek Rd, Antioch, CA 94531 Phone: 925-813-3400

Kelly Park, DO - Medicare in Antioch, CA