Caitlyn Jeein Park, in Buena Park, CA - Medicare Nurse Practitioner

Caitlyn Jeein Park, is a medicare enrolled "Nurse Practitioner - Family" in Buena Park, California. Her current practice location is 7212 Orangethorpe Ave Ste 9a, Buena Park, California. You can reach out to her office (for appointments etc.) via phone at (714) 503-6550.

Caitlyn Jeein Park is licensed to practice in California (license number 95017087) 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 1003462722.

Contact Information

	Caitlyn Jeein Park,
	7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668
	(714) 503-6550
	Not Available

Map and Direction

Provider's Profile

Full Name	Caitlyn Jeein Park
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7212 Orangethorpe Ave Ste 9a, Buena Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003462722
Provider Enumeration Date: 08/18/2019
Last Update Date: 07/01/2021

Medicare PECOS Information:

PECOS PAC ID: 1951778414
Enrollment ID: I20221114000604

Medical Identifiers

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

Identifier	Type	State	Issuer
1003462722	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	95160347 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95017087 (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. Caitlyn Jeein Park allows following entities to bill medicare on her behalf.

Entity Name	Korean Community Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437

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. Caitlyn Jeein 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
Caitlyn Jeein Park, 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 Ph: (714) 503-6550	Caitlyn Jeein Park, 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621-4668 Ph: (714) 503-6550

Reviews and Comments

Nurse Practitioner Nurses in Buena Park, CA

Kristine Mae Tinimbang Angeles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Tahoe Cir, Buena Park, CA 90621 Phone: 562-640-6344
Rana Choi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7212 Orangethorpe Ave Ste 9a, Buena Park, CA 90621 Phone: 714-503-6550 Fax: 714-409-3094
Tam Nguyen, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8850 Valley View St, Buena Park, CA 90620 Phone: 714-827-7321
Mr. Ace E. Alvarez, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8585 Knott Ave Ste 101, Buena Park, CA 90620 Phone: 714-821-8588 Fax: 714-821-4482
Dhanisara Chapagain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7487 Santa Elise Cir, Buena Park, CA 90620 Phone: 562-552-7488
Mrs. Jeahee Jaycee Son, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5450 Beach Blvd Ste 100, Buena Park, CA 90621 Phone: 714-752-6273
Bernarda Brenda Gonzalez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6417 San Marcos Way, Buena Park, CA 90620 Phone: 714-603-4566

Caitlyn Jeein Park, - Medicare Nurse Practitioner in Buena Park, CA