Shirley Park, MD in Stanford, CA - Medicare Internal Medicine

Shirley Park, MD is a medicare enrolled "Internal Medicine" physician in Stanford, California. Her current practice location is 300 Pasteur Dr, H2146, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-9363.

Shirley Park is licensed to practice in California (license number A88452) 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 1457376980.

Contact Information

	Shirley Park, MD
	300 Pasteur Dr, H2146, Stanford, CA 94305-2200
	(650) 723-9363
	Not Available

Map and Direction

Physician's Profile

Full Name	Shirley Park
Gender	Female
Speciality	Internal Medicine
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457376980
Provider Enumeration Date: 07/13/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4587667498
Enrollment ID: I20060815000249

Medical Identifiers

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

Identifier	Type	State	Issuer
1457376980	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A88452 (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. Shirley 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

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

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. Shirley 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
Shirley Park, MD 300 Pasteur Dr, H2146, Stanford, CA 94305-2200 Ph: (650) 723-9363	Shirley Park, MD 300 Pasteur Dr, H2146, Stanford, CA 94305-2200 Ph: (650) 723-9363

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Yu Kuang Lai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Meghan Brady Marmor, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Lauren Michelle Ulsh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Shirley Park, MD - Medicare Internal Medicine in Stanford, CA