Dr John Park, PHD in Diamond Bar, CA - Medicare Psychologist Provider

Dr John Park, PHD is a medicare enrolled "Psychologist - Clinical" provider in Diamond Bar, California. His current practice location is 1370 Valley Vista Dr Ste 200, Diamond Bar, California. You can reach out to his office (for appointments etc.) via phone at (909) 274-9119.

Dr John Park is licensed to practice in California (license number PSY30065) 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 1750632501.

Contact Information

	Dr John Park, PHD
	1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765
	(909) 274-9119
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Park
Gender	Male
Speciality	Psychologist - Clinical
Location	1370 Valley Vista Dr Ste 200, Diamond Bar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750632501
Provider Enumeration Date: 09/19/2012
Last Update Date: 07/27/2018

Medicare PECOS Information:

PECOS PAC ID: 8820348527
Enrollment ID: I20180829004245

Medical Identifiers

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

Identifier	Type	State	Issuer
1750632501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	30065 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(California)	Secondary
103TC0700X	Psychologist - Clinical	PSY30065 (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. Dr John Park allows following entities to bill medicare on his behalf.

Entity Name	Riiid Medical Group Irvine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437770468 PECOS PAC ID: 4284046889 Enrollment ID: O20201223000428

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. Dr John 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
Dr John Park, PHD 1317 S Diamond Bar Blvd Unit 4233, Diamond Bar, CA 91765-5610 Ph: (909) 274-9119	Dr John Park, PHD 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765 Ph: (909) 274-9119

Reviews and Comments

Psychologist in Diamond Bar, CA

Dr. Preet Kaur Joneja, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1370 Valley Vista Dr, Suite 104, Diamond Bar, CA 91765 Phone: 909-860-2166
Dr. Sandee A Schuster, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 404 S Prospectors Road, Suite C, Diamond Bar, CA 91765 Phone: 909-861-0012
Richard Eugene Ortigo, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21660 Copley Dr Ste 350, Diamond Bar, CA 91765 Phone: 909-612-0601 Fax: 909-612-0602
Dr. Tony Wu, PH.D., ABPP Psychologist Medicare: Medicare Enrolled Practice Location: 1422 S. Valeview Dr., Diamond Bar, CA 91765 Phone: 909-753-4986 Fax: 888-815-0483
Dr. Thomas Strand Ball, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 South Diamond Bar Blvd, Suite 207, Diamond Bar, CA 91765 Phone: 909-860-1237 Fax: 909-860-8467
Dr. Stephen G Meyer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 732 N Diamond Bar Blvd, Suite 120, Diamond Bar, CA 91765 Phone: 909-861-7150 Fax: 909-860-1907
David T Hinman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21015 Pathfinder Rd Ste 200, Diamond Bar, CA 91765 Phone: 213-822-0997

Dr John Park, PHD - Medicare Psychologist in Diamond Bar, CA