Dr Kyulee Park, PHD, LPC, NCC in Norfolk, VA - Medicare Counselor Provider

Dr Kyulee Park, PHD, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Norfolk, Virginia. Her current practice location is 825 Fairfax Ave Ste 206, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 446-5955.

Dr Kyulee Park is licensed to practice in Virginia (license number 0701010068) 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 1477170009.

Contact Information

	Dr Kyulee Park, PHD, LPC, NCC
	825 Fairfax Ave Ste 206, Norfolk, VA 23507-1912
	(757) 446-5955
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyulee Park
Gender	Female
Speciality	Counselor - Professional
Location	825 Fairfax Ave Ste 206, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477170009
Provider Enumeration Date: 06/30/2020
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 7315398146
Enrollment ID: I20240105002573

Medical Identifiers

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

Identifier	Type	State	Issuer
1477170009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701010068 (Virginia)	Secondary
101YM0800X	Counselor - Mental Health	0704009831 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701010068 (Virginia)	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 Kyulee Park allows following entities to bill medicare on her behalf.

Entity Name	Evms Academic Physicians And Surgeons Health Services Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377

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 Kyulee 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 Kyulee Park, PHD, LPC, NCC 825 Fairfax Ave Ste 206, Norfolk, VA 23507-1912 Ph: () -	Dr Kyulee Park, PHD, LPC, NCC 825 Fairfax Ave Ste 206, Norfolk, VA 23507-1912 Ph: (757) 446-5955

Reviews and Comments

Counselor in Norfolk, VA

Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132
Sonnee Da'niel Stanley, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9612 Wells Pkwy, Norfolk, VA 23503 Phone: 304-888-2910
Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6325 N Center Dr Ste 208, Norfolk, VA 23502 Phone: 757-961-3255 Fax: 757-961-3265
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391

Dr Kyulee Park, PHD, LPC, NCC - Medicare Counselor in Norfolk, VA