Dr Lylan S Park, MD in Lafayette, IN

Dr Lylan S Park, MD is a medicare enrolled "Pediatrics" physician in Lafayette, Indiana. Her current practice location is 2600 Greenbush St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Dr Lylan S Park is licensed to practice in Indiana (license number 01052774A) 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 1043243561.

Contact Information

	Dr Lylan S Park, MD
	2600 Greenbush St, Lafayette, IN 47904-2477
	(765) 448-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lylan S Park
Gender	Female
Speciality	Pediatrics
Location	2600 Greenbush St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043243561
Provider Enumeration Date: 07/08/2006
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9133132681
Enrollment ID: I20130503000173

Medical Identifiers

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

Identifier	Type	State	Issuer
1043243561	NPI	-	NPPES
000000808598	Other	IN	ANTHEM PROVIDER NUMBER
201145160	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01052774A (Indiana)	Primary
208000000X	Pediatrics	036-099146 (Illinois)	Secondary

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 Lylan S Park allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

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 Lylan S 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 Lylan S Park, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621	Dr Lylan S Park, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000

Reviews and Comments

Pediatrics Doctors in Lafayette, IN

Christopher O Wood, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Sabeena Rana Hubbard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698
Lauren E Winsauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000
Theresa Anne Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7611
Nadeem Abbasi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-868-6302
Ketan K Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 145a, Lafayette, IN 47905 Phone: 765-446-5040 Fax: 765-446-5041

Dr Lylan S Park, MD - Medicare Pediatrics in Lafayette, IN