Cecilia Park, FNP - Medicare in Duluth, GA

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Cecilia Park, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Duluth, Georgia. Her current practice location is 3636 Satellite Blvd, #4a, Duluth, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 336-9635.

Cecilia Park is licensed to practice in Georgia (license number RN240365) 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 1992041859.

Contact Information

Cecilia Park, FNP
3636 Satellite Blvd, #4a,
Duluth, GA 30096-4590
(470) 336-9635
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameCecilia Park
GenderFemale
SpecialityNurse Practitioner - Family
Location3636 Satellite Blvd, Duluth, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992041859
  • Provider Enumeration Date: 12/21/2012
  • Last Update Date: 02/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294066981
  • Enrollment ID: I20211025000285

Medical Identifiers

Medical identifiers for Cecilia Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992041859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CHIR008961 (Georgia)Secondary
363LF0000XNurse Practitioner - Family RN240365 (Georgia)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. Cecilia Park allows following entities to bill medicare on her behalf.
Provider NameProhealth Care Associates Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275596280
PECOS PAC ID: 4486544186
Enrollment ID: O20040317000468
Provider NameOptum Urgent Care Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285975797
PECOS PAC ID: 8628299518
Enrollment ID: O20141017000598

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. Cecilia 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
Cecilia Park, FNP
2366 Harshaw Ave,
Lawrenceville, GA 30043-8209

Ph: (470) 336-9635		Cecilia Park, FNP
3636 Satellite Blvd, #4a,
Duluth, GA 30096-4590

Ph: (470) 336-9635

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.