Mrs Jordan Park, MS, LMFT in Oklahoma City, OK - Medicare Marriage & Family Therapist Provider

Mrs Jordan Park, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Oklahoma City, Oklahoma. Her current practice location is 501 N Walker Ave Ste 140, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 841-4800.

Mrs Jordan Park is licensed to practice in Oklahoma (license number 10230) 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 1508363680.

Contact Information

	Mrs Jordan Park, MS, LMFT
	501 N Walker Ave Ste 140, Oklahoma City, OK 73102-1233
	(405) 841-4800
	(405) 841-4803

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jordan Park
Gender	Female
Speciality	Marriage & Family Therapist
Location	501 N Walker Ave Ste 140, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508363680
Provider Enumeration Date: 04/06/2018
Last Update Date: 09/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3971955352
Enrollment ID: I20240122002631

Medical Identifiers

Medical identifiers for Mrs Jordan Park such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508363680	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	10230 (Oklahoma)	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. Mrs Jordan Park allows following entities to bill medicare on her behalf.

Entity Name	Calm Waters Center For Children And Families
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003342320 PECOS PAC ID: 5799137493 Enrollment ID: O20240118001572

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. Mrs Jordan 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
Mrs Jordan Park, MS, LMFT 501 N Walker Ave Ste 140, Oklahoma City, OK 73102-1233 Ph: (405) 841-4800	Mrs Jordan Park, MS, LMFT 501 N Walker Ave Ste 140, Oklahoma City, OK 73102-1233 Ph: (405) 841-4800

Reviews and Comments

Marriage & Family Therapist in Oklahoma City, OK

Meghann Laurel Tillison, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4913 W Reno Ave, Oklahoma City, OK 73127 Phone: 405-948-4900 Fax: 405-948-4933
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Lauren Emily Mckay, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6100 S Walker Ave, Oklahoma City, OK 73139 Phone: 405-634-4400
Jill E. Butler, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10317 Greenbriar Pl Ste 400, Oklahoma City, OK 73159 Phone: 918-745-0095 Fax: 918-745-0190

Mrs Jordan Park, MS, LMFT - Medicare Couples Therapy in Oklahoma City, OK