Dr Jean Park, MD MPH - Medicare Obstetrics/gynecology in Fontana, CA

Dr Jean Park, MD MPH is a medicare enrolled "Obstetrics & Gynecology" physician in Fontana, California. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 9985 Sierra Ave, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5629.

Dr Jean Park is licensed to practice in California (license number A117145) 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 1205098183.

Contact Information

Dr Jean Park, MD MPH
9985 Sierra Ave,
Fontana, CA 92335-6720
(909) 427-5629
Not Available



Physician's Profile

Full NameDr Jean Park
GenderFemale
SpecialityObstetrics/gynecology
Experience20 Years
Location9985 Sierra Ave, Fontana, 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 Jean Park graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1205098183
  • Provider Enumeration Date: 07/01/2008
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981876810
  • Enrollment ID: I20111018000663

Medical Identifiers

Medical identifiers for Dr Jean Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205098183NPI-NPPES
11014577AOtherINSTATE LICENSE
A117145OtherCACALIFORNIA MEDICAL BOARD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 11014577A (Indiana)Secondary
207V00000XObstetrics & Gynecology A117145 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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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 Jean 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: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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 Jean 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 Jean Park, MD MPH
9985 Sierra Ave,
Fontana, CA 92335-6720

Ph: () -
Dr Jean Park, MD MPH
9985 Sierra Ave,
Fontana, CA 92335-6720

Ph: (909) 427-5629

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Obstetrics & Gynecology Doctors in Fontana, CA

Suzanne Cao,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-6538    
Amy W Zhai, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana Medical Ctr, Dept Of Ob/gyn, Fontana, CA 92335
Phone: 909-427-5279    
Dr. Erica Chia-chi Medina, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 833-574-2273    
Norry E. Huffman, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Jessica Boksberger Iskander, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-4377    
Robert G. Pretorius, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9961 Sierra Ave, Fontana, CA 92335
Phone: 909-427-3910    
Stephen Cheng-wen Chao, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 8110 Mango Ave Ste 106, Fontana, CA 92335
Phone: 909-266-0090    

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