Stephen Park, MD - Medicare Internal Medicine in Daly City, CA

Stephen Park, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Daly City, California. His current practice location is 1900 Sullivan Ave, Daly City, California. You can reach out to his office (for appointments etc.) via phone at (650) 991-0600.

Stephen Park is licensed to practice in California (license number G55543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124050505.

Contact Information

Stephen Park, MD
1900 Sullivan Ave,
Daly City, CA 94015-2200
(650) 991-0600
(650) 991-0306



Physician's Profile

Full NameStephen Park
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location1900 Sullivan Ave, Daly City, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124050505
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 03/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9830097179
  • Enrollment ID: I20040618000879

Medical Identifiers

Medical identifiers for Stephen Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124050505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease G55543 (California)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. Stephen Park allows following entities to bill medicare on his behalf.
Entity NameCounty Of San Mateo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831268580
PECOS PAC ID: 9032023171
Enrollment ID: O20040123000822

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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. Stephen 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
Stephen Park, MD
418 Virginia Ave,
San Mateo, CA 94402-2236

Ph: (650) 455-4937
Stephen Park, MD
1900 Sullivan Ave,
Daly City, CA 94015-2200

Ph: (650) 991-0600

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Internal Medicine Doctors in Daly City, CA

Hui Ming Yang, MD
Pulmonary Disease
Medicare: May Accept Medicare Assignments
Practice Location: 1900 Sullivan Ave, Lower Level, Daly City, CA 94015
Phone: 415-680-4135    
Dr. Christian Cosca Cruz, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1498 Southgate Ave, Suite 102, Daly City, CA 94015
Phone: 650-755-4490    Fax: 650-755-2920
Scott T. Tsunehara, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 395 Hickey Blvd, Daly City, CA 94015
Phone: 650-742-2000    
Grace Lising Huang,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 901 Campus Dr Ste 111, Daly City, CA 94015
Phone: 650-652-8500    
Dr. Robert Ra Nien Tseng, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1498 Southgate Ave, Ste 102, Daly City, CA 94015
Phone: 650-755-4492    Fax: 650-755-4466
Mark M. Tsuchiyose, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Sullivan Avenue #520, Daly City, CA 94015
Phone: 650-756-5000    Fax: 650-756-5903
Dr. Carlo Jericho S Magtibay, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Sullivan Ave, Lower Level, Daly City, CA 94015
Phone: 415-680-4135    

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