Dr Lisa Regina Park, AUD in Durham, NC - Medicare Audiologist Provider

Dr Lisa Regina Park, AUD is a medicare enrolled "Audiologist" provider in Durham, North Carolina. Her current practice location is 5501 Fortunes Ridge Dr, Suite A, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 419-1449.

Dr Lisa Regina Park is licensed to practice in North Carolina (license number 7316) 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 1558414938.

Contact Information

	Dr Lisa Regina Park, AUD
	5501 Fortunes Ridge Dr, Suite A, Durham, NC 27713-6102
	(919) 419-1449
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Regina Park
Gender	Female
Speciality	Audiologist
Location	5501 Fortunes Ridge Dr, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558414938
Provider Enumeration Date: 01/19/2007
Last Update Date: 10/04/2022

Medicare PECOS Information:

PECOS PAC ID: 9931575487
Enrollment ID: I20221025000686

Medical Identifiers

Medical identifiers for Dr Lisa Regina Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558414938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	(North Carolina)	Secondary
231H00000X	Audiologist	7316 (North Carolina)	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. Dr Lisa Regina Park allows following entities to bill medicare on her behalf.

Provider Name	University Of North Carolina At Chapel Hill
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

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 Lisa Regina 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 Address	Practice Location Address
Dr Lisa Regina Park, AUD 5221 Paramount Pkwy Ste 420, Morrisville, NC 27560-5491 Ph: () -	Dr Lisa Regina Park, AUD 5501 Fortunes Ridge Dr, Suite A, Durham, NC 27713-6102 Ph: (919) 419-1449

Reviews and Comments

Audiologist in Durham, NC

Ms. Renee Michelle Mcclelland, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Asps - 126, Durham, NC 27705 Phone: 919-286-6961
Emma Kathryn Gibbings, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411
Jennifer Kathryn Rollinson, MS Audiologist Medicare: Accepting Medicare Assignments Practice Location: Duke University & Health System 40 Duke Medicine Circle, Durham, NC 27710 Phone: 919-684-6271
Christine Ebest Holmes, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 155 Baker House Trent Dr, Dumc 3887, Durham, NC 27710 Phone: 919-684-3859
Andrea Elizabeth Engel, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 4102 N Roxboro St, Durham, NC 27704 Phone: 919-595-2000 Fax: 919-595-2191
Diane Alicia Catalano, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 40 Duke Medicine Cir, Clinic 1i, Durham, NC 27710 Phone: 919-684-3451
Nancy Garrett Jones, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-6961

Dr Lisa Regina Park, AUD - Medicare Audiologist in Durham, NC