Se J Park, NP-C in Laguna Hills, CA - Medicare Nurse Practitioner

Se J Park, NP-C is a medicare enrolled "Nurse Practitioner" in Laguna Hills, California. He went to Emory University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Orange County Urology Associates, Inc. A Medical Group and his current practice location is 23961 Calle De La Magdalena Ste 500, Laguna Hills, California. You can reach out to his office (for appointments etc.) via phone at (949) 855-1101.

Se J Park is licensed to practice in California (license number 95023379) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871031518.

Contact Information

	Se J Park, NP-C
	23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622
	(949) 855-1101
	(949) 855-8710

Map and Direction

Provider's Profile

Full Name	Se J Park
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	23961 Calle De La Magdalena Ste 500, Laguna Hills, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Se J Park attended and graduated from Emory University School Of Medicine in 2016

NPI Data:

NPI Number: 1871031518
Provider Enumeration Date: 02/02/2017
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3971887472
Enrollment ID: I20221216001328

Medical Identifiers

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

Identifier	Type	State	Issuer
1871031518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN243386 (Georgia)	Secondary
363L00000X	Nurse Practitioner	95023379 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orange County Urology Associates, Inc. A Medical Group	6002713146	14

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. Se J Park allows following entities to bill medicare on his behalf.

Entity Name	Orange County Urology Associates, Inc. A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215992748 PECOS PAC ID: 6002713146 Enrollment ID: O20031216000878

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. Se J 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
Se J Park, NP-C 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622 Ph: (949) 844-5438	Se J Park, NP-C 23961 Calle De La Magdalena Ste 500, Laguna Hills, CA 92653-7622 Ph: (949) 855-1101

Reviews and Comments

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Tiffany Ann Cervenak, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24012 Calle De La Plata, Suite 150, Laguna Hills, CA 92653 Phone: 949-837-1578 Fax: 949-837-8154
Maryam Fathy, DNP, MSN, RN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24451 Health Center Dr, Laguna Hills, CA 92653 Phone: 949-424-9730 Fax: 949-452-7599

Se J Park, NP-C - Medicare Nurse Practitioner in Laguna Hills, CA