Dr Hyo Kyung Park, MD - Medicare Obstetrics/gynecology in Santa Monica, CA

Dr Hyo Kyung Park, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Santa Monica, California. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is 2121 Santa Monica Blvd, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 829-8031.

Dr Hyo Kyung Park is licensed to practice in California (license number A160736) 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 1184910960.

Contact Information

Dr Hyo Kyung Park, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303
(310) 829-8031
(310) 829-8914



Physician's Profile

Full NameDr Hyo Kyung Park
GenderFemale
SpecialityObstetrics/gynecology
Experience13 Years
Location2121 Santa Monica Blvd, Santa Monica, California
Accepts Medicare AssignmentsYes. 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 Hyo Kyung Park graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1184910960
  • Provider Enumeration Date: 06/21/2011
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002117439
  • Enrollment ID: I20220426001564

Medical Identifiers

Medical identifiers for Dr Hyo Kyung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184910960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 125059823 (Illinois)Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology A160736 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Saint John's Health CenterSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Saint Johns Medical Foundation0840548624315

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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 Hyo Kyung Park allows following entities to bill medicare on her behalf.
Entity NameLos Angeles Lgbt Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548298532
PECOS PAC ID: 8729975453
Enrollment ID: O20040227001020

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Entity NameFirst Choice Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104183052
PECOS PAC ID: 0941465322
Enrollment ID: O20120710000480

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Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904

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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 Hyo Kyung 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 Hyo Kyung Park, MD
1300 N Vermont Ave,
Los Angeles, CA 90027-6098

Ph: (323) 473-5499
Dr Hyo Kyung Park, MD
2121 Santa Monica Blvd,
Santa Monica, CA 90404-2303

Ph: (310) 829-8031

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Obstetrics & Gynecology Doctors in Santa Monica, CA

Christopher Richard Douglas,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 2001 Santa Monica Blvd Ste 380, Santa Monica, CA 90404
Phone: 310-899-7500    
Dr. Angela Yat-sun Nishio, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 20th St Ste 270, Santa Monica, CA 90404
Phone: 310-828-8585    Fax: 310-453-4844
Dr. Andrea L Stein, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1301 - 20th, Suite 100, Santa Monica, CA 90404
Phone: 310-453-4600    Fax: 855-437-9295
Dr. Paula Staci Josephson Shulman, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1301 20th St Ste 270, Santa Monica, CA 90404
Phone: 310-828-8585    Fax: 310-453-4844
Dr. Lisa Marie Valle, D.O.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1349 Franklin St, Santa Monica, CA 90404
Phone: 424-231-7116    Fax: 310-496-2762
Dr. Stephen Michael Lieb, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1304 15th Street, Suite 310, Santa Monica, CA 90404
Phone: 310-899-9799    Fax: 310-899-9789
Charles Frederick Dubin,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1304 15th Street, #310, Santa Monica, CA 90404
Phone: 310-899-9799    Fax: 310-899-9789

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