Dr Alice S Park, MD - Medicare Obstetrics & Gynecology in La Jolla, CA

Dr Alice S Park, MD is a medicare enrolled "Obstetrics & Gynecology - Reproductive Endocrinology" physician in La Jolla, California. Her current practice location is 9300 Campus Point Dr, Mail Code 0633, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (888) 309-8273.

Dr Alice S Park is licensed to practice in California (license number A94437) 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 1093722290.

Contact Information

Dr Alice S Park, MD
9300 Campus Point Dr, Mail Code 0633,
La Jolla, CA 92037-1300
(888) 309-8273
Not Available



Physician's Profile

Full NameDr Alice S Park
GenderFemale
SpecialityObstetrics & Gynecology - Reproductive Endocrinology
Location9300 Campus Point Dr, La Jolla, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093722290
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476553819
  • Enrollment ID: I20070108000547

Medical Identifiers

Medical identifiers for Dr Alice S Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093722290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VE0102XObstetrics & Gynecology - Reproductive Endocrinology A94437 (California)Primary
207V00000XObstetrics & Gynecology A94437 (California)Secondary

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 Alice S Park allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981

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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 Alice S 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 Alice S Park, MD
9300 Campus Point Dr, Mail Code 0633,
La Jolla, CA 92037-1300

Ph: (888) 309-8273
Dr Alice S Park, MD
9300 Campus Point Dr, Mail Code 0633,
La Jolla, CA 92037-1300

Ph: (888) 309-8273

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Injecting a gene responsible for making a specific protein into a mouse that's used as a model for muscular dystrophy can lead to long-term improvements in the animal's muscle size and strength, a new study shows.

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Obstetrics & Gynecology Doctors in La Jolla, CA

Renee Marleen Nelson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9850 Genesee Ave, #60, La Jolla, CA 92037
Phone: 858-453-0753    Fax: 858-642-4270
Mariann Alperin, M.D., M.S.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9350 Campus Point Drive, Ste 2a, Mc 0974, Ucsd Women's Pelvic Medicine, La Jolla, CA 92037
Phone: 858-657-8435    
Dr. Mel M. Kurtulus, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 9850 Genesee Ave Ste 640, La Jolla, CA 92037
Phone: 858-677-0777    Fax: 858-677-0666
Benito Villanueva, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9850 Genesee Ave, Suite 410, La Jolla, CA 92037
Phone: 858-550-4954    Fax: 858-550-4946
Dr. Seth Daniel Bulow, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9834 Genesee Ave, Suite 400, La Jolla, CA 92037
Phone: 858-622-9076    
Dr. John J. Willems, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037
Phone: 858-764-9080    

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