Tiffany Yumi Yanase Park, OD - Medicare Optometrist in Loma Linda, CA

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Tiffany Yumi Yanase Park, OD is a medicare enrolled "Optometrist" provider in Loma Linda, California. Her current practice location is 11370 Anderson St Ste 1800, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-2154.

Tiffany Yumi Yanase Park is licensed to practice in California (license number 34091) 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 1194212894.

Contact Information

Tiffany Yumi Yanase Park, OD
11370 Anderson St Ste 1800,
Loma Linda, CA 92354-3450
(909) 558-2154
(909) 558-2180

Map and Direction




Healthcare Provider's Profile

Full NameTiffany Yumi Yanase Park
GenderFemale
SpecialityOptometrist
Location11370 Anderson St Ste 1800, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194212894
  • Provider Enumeration Date: 04/18/2018
  • Last Update Date: 09/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587914213
  • Enrollment ID: I20190815003001

Medical Identifiers

Medical identifiers for Tiffany Yumi Yanase Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194212894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0003393 (Colorado)Secondary
152WP0200XOptometrist - Pediatrics 0003393 (Colorado)Secondary
152W00000XOptometrist 34091 (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. Tiffany Yumi Yanase Park allows following entities to bill medicare on her behalf.
Provider NameFaculty Physicians And Surgeons Of Llusm
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Provider NameMarshall B Ketchum University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1720101876
PECOS PAC ID: 9739075177
Enrollment ID: O20040224000463

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. Tiffany Yumi Yanase 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 AddressPractice Location Address
Tiffany Yumi Yanase Park, OD
11370 Anderson St Ste 1800,
Loma Linda, CA 92354-3450

Ph: (909) 558-2154		Tiffany Yumi Yanase Park, OD
11370 Anderson St Ste 1800,
Loma Linda, CA 92354-3450

Ph: (909) 558-2154

Reviews and Comments


Optometrist in Loma Linda, CA

Dr. Douglas Soderblom, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 25815 Barton Rd, Suite 104, Loma Linda, CA 92354
Phone: 909-478-3345    Fax: 909-478-9337
Faculty Physicians And Surgeons Of Llusm
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St Ste 1800, Loma Linda, CA 92354
Phone: 909-558-2180    
Annessa Du, O.d., A Professional Corporation
Optometrist
Medicare: Medicare Enrolled
Practice Location: 11346 Mountain View Ave Ste B, Loma Linda, CA 92354
Phone: 909-796-0101    
Nadiya Shalin Thomas, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St Ste 1800, Loma Linda, CA 92354
Phone: 909-558-2154    
Annessa Du,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 11346 Mountain View Ave Ste B, Loma Linda, CA 92354
Phone: 909-796-0101    
Faculty Physicians And Surgeons Of Llusm
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St, Suite 1800, Loma Linda, CA 92354
Phone: 909-558-2180    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.