Se Ra Park, in Downey, CA - Medicare Nurse Anesthetist, Certified Registered

Se Ra Park, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Downey, California. Her current practice location is 9333 Imperial Hwy, Downey, California. You can reach out to her office (for appointments etc.) via phone at (833) 574-2273.

Se Ra Park is licensed to practice in California (license number 95001909) 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 1558761395.

Contact Information

	Se Ra Park,
	9333 Imperial Hwy, Downey, CA 90242-2812
	(833) 574-2273
	Not Available

Map and Direction

Provider's Profile

Full Name	Se Ra Park
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	9333 Imperial Hwy, Downey, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558761395
Provider Enumeration Date: 08/29/2014
Last Update Date: 05/26/2023

Medicare PECOS Information:

PECOS PAC ID: 8123487055
Enrollment ID: I20230710002527

Medical Identifiers

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

Identifier	Type	State	Issuer
1558761395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95001909 (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. Se Ra Park allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Amsurg Arcadia Anesthesia Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114291226 PECOS PAC ID: 7214199850 Enrollment ID: O20120427000249

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 Ra 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 Ra Park, 1203 W 164th St Apt 3, Gardena, CA 90247-4885 Ph: (213) 332-4140	Se Ra Park, 9333 Imperial Hwy, Downey, CA 90242-2812 Ph: (833) 574-2273

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Downey, CA

Chelsea Putman, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273
Monica Lang, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 833-574-2273
Frances Aponte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7601 Imperial Hwy, Downey, CA 90242 Phone: 562-803-0124 Fax: 562-803-5569
Amee T. Ramirez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9449 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9900
Karen L. Glance-smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8635 Firestone Blvd, Ste # 100, Downey, CA 90241 Phone: 562-862-5121 Fax: 562-862-3027
Ronald Rea Tolentino Atienza, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 562-657-9000
Chelsea Palacios, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9333 Imperial Hwy, Downey, CA 90242 Phone: 916-718-3640

Se Ra Park, - Medicare Nurse Anesthetist, Certified Registered in Downey, CA