Jooha Park, in Anaheim, CA - Medicare Nurse Practitioner

Jooha Park, is a medicare enrolled "Nurse Practitioner - Family" in Anaheim, California. Her current practice location is 1725 S Auburn Way Unit 633, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (909) 735-7829.

Jooha Park is licensed to practice in California (license number 95026018) 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 1710669189.

Contact Information

	Jooha Park,
	1725 S Auburn Way Unit 633, Anaheim, CA 92805-6635
	(909) 735-7829
	Not Available

Map and Direction

Provider's Profile

Full Name	Jooha Park
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1725 S Auburn Way Unit 633, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710669189
Provider Enumeration Date: 08/03/2023
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9133661283
Enrollment ID: I20240605000827

Medical Identifiers

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

Identifier	Type	State	Issuer
1710669189	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026018 (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. Jooha Park allows following entities to bill medicare on her behalf.

Entity Name	Hoag Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936

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. Jooha 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
Jooha Park, 1725 S Auburn Way Unit 633, Anaheim, CA 92805-6635 Ph: (909) 735-7829	Jooha Park, 1725 S Auburn Way Unit 633, Anaheim, CA 92805-6635 Ph: (909) 735-7829

Reviews and Comments

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Jooha Park, - Medicare Nurse Practitioner in Anaheim, CA