Samuel Wan Park, MD in Mission Viejo, CA - Medicare Orthopedic Surgery

Samuel Wan Park, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mission Viejo, California. He went to University Of Pittsburgh School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthopaedic Specialty Institute Medical Group Of Orange County and his current practice location is 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at (949) 364-2154.

Samuel Wan Park is licensed to practice in California (license number A96320) 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 1710181854.

Contact Information

	Samuel Wan Park, MD
	26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691
	(949) 364-2154
	(949) 496-8872

Map and Direction

Physician's Profile

Full Name	Samuel Wan Park
Gender	Male
Speciality	Orthopedic Surgery
Experience	20 Years
Location	26730 Crown Valley Pkwy, Mission Viejo, 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:

Samuel Wan Park attended and graduated from University Of Pittsburgh School Of Medicine in 2004

NPI Data:

NPI Number: 1710181854
Provider Enumeration Date: 06/13/2007
Last Update Date: 02/17/2020

Medicare PECOS Information:

PECOS PAC ID: 8022201144
Enrollment ID: I20111004000505

Medical Identifiers

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

Identifier	Type	State	Issuer
1710181854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	A96320 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mission Hospital Regional Med Center	Mission viejo, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopaedic Specialty Institute Medical Group Of Orange County	5395631931	45

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

Entity Name	Orthopaedic Specialty Institute Medical Group Of Orange County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336228832 PECOS PAC ID: 5395631931 Enrollment ID: O20040223000398

Entity Name	South Orange County Orthopaedics, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891951174 PECOS PAC ID: 4486828787 Enrollment ID: O20111123000306

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. Samuel Wan 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
Samuel Wan Park, MD 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691-6364 Ph: (949) 364-2154	Samuel Wan Park, MD 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Ph: (949) 364-2154

Reviews and Comments

Orthopaedic Surgery Doctors in Mission Viejo, CA

Michael S Marandola, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691 Phone: 949-348-4000
Kent R Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691 Phone: 949-348-4000 Fax: 949-348-4090
Herbert Eidt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154 Fax: 949-364-2110
Dr. Mark E. Elzik, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26730 Crown Valley Pkwy, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154
James Benjamin Chen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691 Phone: 949-348-4000 Fax: 949-348-7466
Dr. Gary Jack Phipps, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26720 Crown Valley Parkway, Suite 200, Mission Viejo, CA 92691 Phone: 949-364-2154 Fax: 949-364-2110
Evan Michael Guerrero, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691 Phone: 949-348-4020 Fax: 949-348-7466

Samuel Wan Park, MD - Medicare Orthopedic Surgery in Mission Viejo, CA