Elisse Park, MD in Fairfield, CT - Medicare Ophthalmology

Elisse Park, MD is a medicare enrolled "Ophthalmology" physician in Fairfield, Connecticut. She went to Georgetown University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Ophthalmic Surgeons Of Gr Bpt Pc and her current practice location is 2371 Black Rock Turnpike, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 371-0141.

Elisse Park is licensed to practice in Connecticut (license number 70012) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366947061.

Contact Information

	Elisse Park, MD
	2371 Black Rock Turnpike, Fairfield, CT 06825
	(203) 371-0141
	Not Available

Map and Direction

Physician's Profile

Full Name	Elisse Park
Gender	Female
Speciality	Ophthalmology
Experience	6 Years
Location	2371 Black Rock Turnpike, Fairfield, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elisse Park attended and graduated from Georgetown University School Of Medicine in 2018

NPI Data:

NPI Number: 1366947061
Provider Enumeration Date: 03/26/2018
Last Update Date: 09/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9032455597
Enrollment ID: I20220715000602

Medical Identifiers

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

Identifier	Type	State	Issuer
1366947061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	70012 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ophthalmic Surgeons Of Gr Bpt Pc	7214968353	5

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. Elisse Park allows following entities to bill medicare on her behalf.

Entity Name	Ophthalmic Surgeons Of Gr Bpt Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026671 PECOS PAC ID: 7214968353 Enrollment ID: O20050829000209

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. Elisse 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
Elisse Park, MD 2371 Black Rock Turnpike, Fairfield, CT 06825 Ph: (203) 371-0141	Elisse Park, MD 2371 Black Rock Turnpike, Fairfield, CT 06825 Ph: (203) 371-0141

Reviews and Comments

Ophthalmology Doctors in Fairfield, CT

Dr. Jeffrey L Oberman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Sasco Hill Rd # 202, Fairfield, CT 06824 Phone: 203-221-0545 Fax: 203-221-0592
Dr. Peter Alan Small, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2119 Post Rd, Fairfield, CT 06824 Phone: 203-259-7400
Dr. George A Bullwinkel Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 22 Barrister Ln, Fairfield, CT 06824 Phone: 203-254-3999
Dr. Dan Charles Omohundro Sr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2371 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-371-0141 Fax: 203-371-6585
Dr. Laura Tiedemann, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1375 Kings Hwy Ste 301, Fairfield, CT 06824 Phone: 203-366-8000 Fax: 203-330-4598
Dr. Kim P Robbins, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1 Sasco Hill Rd Ofc 202, Office 202, Fairfield, CT 06824 Phone: 203-371-5800 Fax: 203-371-6551

Elisse Park, MD - Medicare Ophthalmology in Fairfield, CT