Sohyun Stephanie Park, DMD - Medicare Dentist in South Pasadena, CA

Sohyun Stephanie Park, DMD is a medicare enrolled "Dentist - Prosthodontics" provider in South Pasadena, California. Her current practice location is 627 Fremont Ave, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 799-6255.

Sohyun Stephanie Park is licensed to practice in Ohio (license number 30.027371) 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 1427424068.

Contact Information

Sohyun Stephanie Park, DMD
627 Fremont Ave,
South Pasadena, CA 91030-2527
(626) 799-6255
Not Available



Healthcare Provider's Profile

Full NameSohyun Stephanie Park
GenderFemale
SpecialityDentist - Prosthodontics
Location627 Fremont Ave, South Pasadena, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427424068
  • Provider Enumeration Date: 08/18/2015
  • Last Update Date: 04/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446694954
  • Enrollment ID: I20240222002850

Medical Identifiers

Medical identifiers for Sohyun Stephanie Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427424068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DN1857026 (Massachusetts)Secondary
1223P0700XDentist - Prosthodontics 102415 (California)Secondary
1223P0700XDentist - Prosthodontics 30.027371 (Ohio)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. Sohyun Stephanie Park allows following entities to bill medicare on her behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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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. Sohyun Stephanie 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
Sohyun Stephanie Park, DMD
11311 La Grange Ave Apt 327,
Los Angeles, CA 90025-6868

Ph: (225) 439-3940
Sohyun Stephanie Park, DMD
627 Fremont Ave,
South Pasadena, CA 91030-2527

Ph: (626) 799-6255

News Archive

Research sheds light on malaria-related parasite's transition from acute to chronic stage

A new discovery about the malaria-related parasite Toxoplasma gondii - which can threaten babies, AIDS patients, the elderly and others with weakened immune function - may help solve the mystery of how this single-celled parasite establishes life-long infections in people.

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As the country awaits the health law decision and President Barack Obama appears to be playing down campaign talk about the health law, GOP presidential candidate Mitt Romney took the opposite approach by offering his vision of health care in America when the law is undone.

Diabetic hypoglycemia remains a critical concern in young patients

A recent Lancet article predicted a doubling of new cases of type 1 diabetes in European children aged under 5, and a 70% rise in cases in children under 15 years - an incidence rate exceeding all previous predictions. Studies in the USA and other countries also suggest similar trends.

Differences between sexes affected by environment during first six months of life

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Dentist in South Pasadena, CA

Dr. Vincent John Tso, DMD
Dentist
Medicare: May Accept Medicare Assignments
Practice Location: 627 Fremont Ave, South Pasadena, CA 91030
Phone: 626-799-6255    
Dr. Kimberley W Wu, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1427 Mission St, South Pasadena, CA 91030
Phone: 626-403-1800    
Mrs. Linda Jane Yanaga, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1421 Indiana Ave, South Pasadena, CA 91030
Phone: 323-344-0661    Fax: 323-344-0555
Dr. Pai-jen Boren Chen, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1414 Fair Oaks Ave Ste 9, South Pasadena, CA 91030
Phone: 626-441-0899    Fax: 626-441-0885
Dr. James Carlton Hodge Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1941 Huntington Dr, Suite H, South Pasadena, CA 91030
Phone: 626-441-1139    Fax: 626-441-1233
Dr. Tony S Hwang, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1941 Huntington Dr, Suite #a, South Pasadena, CA 91030
Phone: 626-308-1807    
Daniel Yacobi, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1140 Fremont Ave, South Pasadena, CA 91030
Phone: 626-441-6234    Fax: 626-799-1263

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