Jennifer Park, MD - Medicare Family Practice in Phoenix, AZ

Jennifer Park, MD is a medicare enrolled "Family Medicine" physician in Phoenix, Arizona. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Torrance Health Association Inc and her current practice location is 4545 E Chandler Blvd Ste 104, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 728-4400.

Jennifer Park is licensed to practice in Arizona (license number 52982) 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 1245679182.

Contact Information

Jennifer Park, MD
4545 E Chandler Blvd Ste 104,
Phoenix, AZ 85048
(480) 728-4400
(480) 222-3422



Physician's Profile

Full NameJennifer Park
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location4545 E Chandler Blvd Ste 104, Phoenix, Arizona
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:
  • Jennifer Park graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1245679182
  • Provider Enumeration Date: 06/24/2013
  • Last Update Date: 07/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6608163415
  • Enrollment ID: I20220309002472

Medical Identifiers

Medical identifiers for Jennifer Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245679182NPI-NPPES
R74065OtherAZTRAINING PERMIT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine R74065 (Arizona)Secondary
207Q00000XFamily Medicine 52982 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Torrance Memorial Medical CenterTorrance, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Torrance Health Association Inc1355302134249

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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. Jennifer Park allows following entities to bill medicare on her behalf.
Entity NameTorrance Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083903124
PECOS PAC ID: 1355302134
Enrollment ID: O20110819000276

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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. Jennifer 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
Jennifer Park, MD
3030 N Central Ave Ste 1001,
Phoenix, AZ 85012-2716

Ph: (602) 406-4786
Jennifer Park, MD
4545 E Chandler Blvd Ste 104,
Phoenix, AZ 85048

Ph: (480) 728-4400

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Family Medicine Doctors in Phoenix, AZ

Dr. Serena Dawn Woods-grimm, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 201 N Central Ave, Phoenix, AZ 85004
Phone: 602-221-6326    
Michael Devin Taylor, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2927 N 7th Ave, Peppertree - Family Medicine #3, Phoenix, AZ 85013
Phone: 602-406-3153    Fax: 602-406-4122
Dr. Umar Iqbal, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2927 N 7th Ave, Peppertree Building - Window #3, Phoenix, AZ 85013
Phone: 602-406-3153    Fax: 602-406-7176
Jessica Ann Wright, PA-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016
Phone: 602-933-1000    
Meggan E Bauer, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4250 E Camelback Rd Ste K100, Phoenix, AZ 85018
Phone: 602-224-9218    
Dr. James W. Fisher, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12450 N 32nd St Ste 3, Phoenix, AZ 85032
Phone: 602-996-0924    Fax: 602-482-2624
Geoffrey Peter Radoff, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2525 West Greenway, Suite 210, Phoenix, AZ 85023
Phone: 602-993-0200    Fax: 602-993-0207

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