Dr Elisa M Park, DO in Sylmar, CA - Medicare Psychiatry & Neurology

Dr Elisa M Park, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Sylmar, California. Her current practice location is 14445 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at (747) 210-4341.

Dr Elisa M Park is licensed to practice in California (license number 20A12656) 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 1285923003.

Contact Information

	Dr Elisa M Park, DO
	14445 Olive View Dr, Sylmar, CA 91342-1437
	(747) 210-4341
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Elisa M Park
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	14445 Olive View Dr, Sylmar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285923003
Provider Enumeration Date: 04/01/2011
Last Update Date: 03/21/2018

Medicare PECOS Information:

PECOS PAC ID: 6608090790
Enrollment ID: I20170118002770

Medical Identifiers

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

Identifier	Type	State	Issuer
1285923003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	20A12656 (California)	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 Elisa M Park allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

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 Elisa M 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 Elisa M Park, DO 23400 Vanowen St, West Hills, CA 91307-2439 Ph: (818) 312-3411	Dr Elisa M Park, DO 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-4341

Reviews and Comments

Psychiatry & Neurology Doctors in Sylmar, CA

Tinh Luong, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14659 Olive View Dr, Olive View Community Urgent Care Center, Sylmar, CA 91342 Phone: 818-485-0888
Lydia Madeleine Nelson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-5656
Dr. Adrienne Grzenda, M.D., PH.D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0888
Dr. Albert J. Kettenis, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Drive, Sylmar, CA 91342 Phone: 818-364-3343
Dr. Manzer H Ghaznavi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 14659 Olive View Dr, Sylmar, CA 91342 Phone: 818-485-0888
Dr. Jarvis Ngati, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 818-364-3343
Tilcia Granados, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 747-210-3000

Dr Elisa M Park, DO - Medicare Psychiatry & Neurology in Sylmar, CA