Mr Young Il Park, FNP in Los Angeles, CA - Medicare Nurse Practitioner

Mr Young Il Park, FNP is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. His current practice location is 525 N Madison Ave Apt 103, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 308-0777.

Mr Young Il Park is licensed to practice in California (license number 95023005) 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 1811609100.

Contact Information

	Mr Young Il Park, FNP
	525 N Madison Ave Apt 103, Los Angeles, CA 90004-2285
	(213) 308-0777
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Young Il Park
Gender	Male
Speciality	Nurse Practitioner - Family
Location	525 N Madison Ave Apt 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: 1811609100
Provider Enumeration Date: 12/19/2022
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 6103281852
Enrollment ID: I20230502001464

Medical Identifiers

Medical identifiers for Mr Young Il Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811609100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95173940 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95023005 (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. Mr Young Il Park allows following entities to bill medicare on his behalf.

Entity Name	Comprehensive Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356362743 PECOS PAC ID: 9638082456 Enrollment ID: O20031107000548

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. Mr Young Il 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
Mr Young Il Park, FNP 525 N Madison Ave Apt 103, Los Angeles, CA 90004-2285 Ph: (213) 308-0777	Mr Young Il Park, FNP 525 N Madison Ave Apt 103, Los Angeles, CA 90004-2285 Ph: (213) 308-0777

Reviews and Comments

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Mr Young Il Park, FNP - Medicare Nurse Practitioner in Los Angeles, CA