Dr Kyungsin Park, DDS in Riverside, CA - Medicare Dentist Provider

Dr Kyungsin Park, DDS is a medicare enrolled "Dentist" provider in Riverside, California. Her current practice location is 285 E Alessandro Blvd, Ste 7d, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (951) 780-9800.

Dr Kyungsin Park is licensed to practice in California (license number 56339) 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 1003094426.

Contact Information

	Dr Kyungsin Park, DDS
	285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508-5083
	(951) 780-9800
	(951) 780-3267

Healthcare Provider's Profile

Full Name	Dr Kyungsin Park
Gender	Female
Speciality	Dentist
Location	285 E Alessandro Blvd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003094426
Provider Enumeration Date: 02/07/2008
Last Update Date: 12/26/2011

Medicare PECOS Information:

PECOS PAC ID: 9335466051
Enrollment ID: I20150317002903

Medical Identifiers

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

Identifier	Type	State	Issuer
1003094426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	56339 (California)	Primary

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 Kyungsin 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 Kyungsin Park, DDS 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508-5083 Ph: (951) 780-9800	Dr Kyungsin Park, DDS 285 E Alessandro Blvd, Ste 7d, Riverside, CA 92508-5083 Ph: (951) 780-9800

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Dentist in Riverside, CA

Han Som Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3457 Arlington Ave Ste 109, Riverside, CA 92506 Phone: 951-742-5208
Dr. Vivian Okhee Kwon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2955 Van Buren Blvd, Ste H4, Riverside, CA 92503 Phone: 951-689-8544 Fax: 951-689-2465
Dr. Osbalda Dominga Reina, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4959 Arlington Ave Ste H, Riverside, CA 92504 Phone: 951-299-7101 Fax: 951-299-7101
Dr. Armound Mahmoudi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10168 Indiana Ave, Riverside, CA 92503 Phone: 951-352-9747 Fax: 951-352-2316
Liviu Florian Eftimie, D.D.S, M.S., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3763 Tibbetts St, Riverside, CA 92506 Phone: 951-799-4911 Fax: 951-778-0799
Manuel Humberto Guevara, DDS,MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3679 Arlington Ave, Riverside, CA 92506 Phone: 951-683-1811 Fax: 951-782-0649

Dr Kyungsin Park, DDS - Medicare Dentist in Riverside, CA