Dr Lisa Regina Park, AUD is a medicare enrolled "Audiologist-hearing Aid Fitter" provider in Durham, North Carolina. Her current practice location is
5501 Fortunes Ridge Dr Ste 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.
Healthcare Provider's Profile
| Full Name | Dr Lisa Regina Park |
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| Gender | Female |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 5501 Fortunes Ridge Dr Ste A, Durham, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558414938
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 10/17/2024
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 | 7316 (North Carolina) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 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 |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359 |
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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 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 Ste A,
Durham, NC 27713-6102
Ph: (919) 419-1449 |
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