Ms Elizabeth Christine Park, RD,LD,PA-C is a medicare enrolled "Physician Assistant" provider in Tulsa, Oklahoma. Her current practice location is
800 S Tucker Dr, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 631-3717.
Ms Elizabeth Christine Park is licensed to practice in Oklahoma (license number 2767) 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 1487081311.
Healthcare Provider's Profile
Full Name | Ms Elizabeth Christine Park |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 800 S Tucker Dr, Tulsa, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487081311
- Provider Enumeration Date: 10/10/2013
- Last Update Date: 02/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 0244599116
- Enrollment ID: I20180123000413
Medical Identifiers
Medical identifiers for Ms Elizabeth Christine Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487081311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1678 (Oklahoma) | Secondary |
363A00000X | Physician Assistant | 2767 (Oklahoma) | Primary |
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. Ms Elizabeth Christine 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 |
Ms Elizabeth Christine Park, RD,LD,PA-C 800 S Tucker Dr, Tulsa, OK 74104-9700 Ph: (918) 631-3717 | Ms Elizabeth Christine Park, RD,LD,PA-C 800 S Tucker Dr, Tulsa, OK 74104-9700 Ph: (918) 631-3717 |
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