Dr Jooyoel Park, - Medicare Dentist in Cathedral City, CA

Dr Jooyoel Park, is a medicare enrolled "Dentist" provider in Cathedral City, California. His current practice location is 69160 Ramon Rd., Suite #100, Cathedral City, California. You can reach out to his office (for appointments etc.) via phone at (760) 969-5469.

Dr Jooyoel Park is licensed to practice in California (license number 55530) 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 1306979638.

Contact Information

Dr Jooyoel Park,
69160 Ramon Rd., Suite #100,
Cathedral City, CA 92234-3343
(760) 969-5469
(760) 770-0280



Healthcare Provider's Profile

Full NameDr Jooyoel Park
GenderMale
SpecialityDentist
Location69160 Ramon Rd., Cathedral City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306979638
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6507082021
  • Enrollment ID: I20140718001205

Medical Identifiers

Medical identifiers for Dr Jooyoel Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306979638NPI-NPPES
D55530MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 55530 (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 Jooyoel Park allows following entities to bill medicare on his behalf.
Entity NameJoo Yoel Park Dds Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609215284
PECOS PAC ID: 5698991115
Enrollment ID: O20140718001043

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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 Jooyoel 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
Dr Jooyoel Park,
256 S Hobart Blvd, Apt #10,
Los Angeles, CA 90004-5248

Ph: (760) 969-5469
Dr Jooyoel Park,
69160 Ramon Rd., Suite #100,
Cathedral City, CA 92234-3343

Ph: (760) 969-5469

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Dentist in Cathedral City, CA

Dr. Nithya Venugopal, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 68555 Ramon Rd Ste D101, Cathedral City, CA 92234
Phone: 951-384-6022    
Dr. Jayjay Sapigao, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 31280 Bob Hope Dr Ste 102, Cathedral City, CA 92276
Phone: 760-422-3888    Fax: 760-422-3889
Bruno Lemay, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 69450 Ramon Rd, Cathedral City, CA 92234
Phone: 760-324-4450    
Dr. Mark Steven Anderson,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 68905 Vista Chino, Cathedral City, CA 92234
Phone: 951-444-8805    
Brandon Soomin Cho, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 69450 Ramon Rd, Cathedral City, CA 92234
Phone: 760-324-4450    
Bruce Merlin Strathdee, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 37086 Cathedral Canyon Drive, Cathedral City, CA 92234
Phone: 760-328-3827    Fax: 760-328-4778
Dr. David Mark Kennedy, DDS MS
Dentist
Medicare: Medicare Enrolled
Practice Location: 69160 Ramon Road Suite #100, Cathedral City, CA 92234
Phone: 760-969-5478    

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