Junghoon Park, NP in Los Angeles, CA - Medicare Nurse Practitioner

Junghoon Park, NP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. His current practice location is 3663 W 6th St Ste 103, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 388-5144.

Junghoon Park is licensed to practice in New York (license number F339257-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093111627.

Contact Information

	Junghoon Park, NP
	3663 W 6th St Ste 103, Los Angeles, CA 90020-3047
	(213) 388-5144
	(213) 388-5154

Map and Direction

Provider's Profile

Full Name	Junghoon Park
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3663 W 6th St Ste 103, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093111627
Provider Enumeration Date: 11/10/2014
Last Update Date: 03/07/2024

Medicare PECOS Information:

PECOS PAC ID: 6204152242
Enrollment ID: I20230410001616

Medical Identifiers

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

Identifier	Type	State	Issuer
1093111627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95011804 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	F339257-1 (New York)	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. Junghoon Park allows following entities to bill medicare on his behalf.

Entity Name	Peninsula Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659947455 PECOS PAC ID: 8921475575 Enrollment ID: O20221110001565

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. Junghoon 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
Junghoon Park, NP 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 Ph: (213) 388-5144	Junghoon Park, NP 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 Ph: (213) 388-5144

Reviews and Comments

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Prof. Antoinette Zaragoza, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022 Phone: 323-780-2216
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Maria Imelda Bautista-durand, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 S Flower St, Los Angeles, CA 90007 Phone: 213-742-1000

Junghoon Park, NP - Medicare Nurse Practitioner in Los Angeles, CA