Dr Jessie Seong-yeon Park, PSYD in San Diego, CA - Medicare Clinical Psychologist Provider

Dr Jessie Seong-yeon Park, PSYD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Regents Of The University Of California and her current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (800) 926-8273.

Dr Jessie Seong-yeon Park is licensed to practice in California (license number 26248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376953257.

Contact Information

	Dr Jessie Seong-yeon Park, PSYD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(800) 926-8273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessie Seong-yeon Park
Gender	Female
Speciality	Clinical Psychologist
Experience	22 Years
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jessie Seong-yeon Park graduated from medical school in 2002

NPI Data:

NPI Number: 1376953257
Provider Enumeration Date: 05/01/2014
Last Update Date: 08/22/2019

Medicare PECOS Information:

PECOS PAC ID: 1153540091
Enrollment ID: I20140909000004

Medical Identifiers

Medical identifiers for Dr Jessie Seong-yeon Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376953257	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	26248 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of California	3577476761	1712

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 Jessie Seong-yeon Park allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508968967 PECOS PAC ID: 3577476761 Enrollment ID: O20031203000756

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 Jessie Seong-yeon 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 Jessie Seong-yeon Park, PSYD Po Box 232410, San Diego, CA 92193-2410 Ph: () -	Dr Jessie Seong-yeon Park, PSYD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Dr. Joel Samaniego, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9265 Sky Park Court, Suite 100, San Diego, CA 92123 Phone: 844-737-3638 Fax: 619-403-9496
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257

Dr Jessie Seong-yeon Park, PSYD - Medicare Psychologist in San Diego, CA