Mallory Lynn Park, MSN, CRNP, FNP-C - General Practice in Ridgway, PA

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Mallory Lynn Park, MSN, CRNP, FNP-C is a General Practice physician based in Ridgway, Pennsylvania. Mallory Lynn Park is licensed to practice in Pennsylvania (license number SP030067) and her current practice location is 250 W Main St, Ridgway, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (814) 772-8122.

NPI number for Mallory Lynn Park is 1114755345 and her current mailing address is 101 Jenks St, Brookville, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114755345.

Contact Information

Mallory Lynn Park, MSN, CRNP, FNP-C
250 W Main St,
Ridgway, PA 15853-1611
(814) 772-8122
Not Available

Map and Direction




Physician's Profile

Full NameMallory Lynn Park
GenderFemale
SpecialityGeneral Practice
Location250 W Main St, Ridgway, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114755345
  • Provider Enumeration Date: 07/22/2024
  • Last Update Date: 07/22/2024

Medical Identifiers

Medical identifiers for Mallory Lynn Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114755345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine SP030067 (Pennsylvania)Secondary
208D00000XGeneral Practice SP030067 (Pennsylvania)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. Mallory Lynn Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mallory Lynn Park, MSN, CRNP, FNP-C
101 Jenks St,
Brookville, PA 15825-2303

Ph: () -		Mallory Lynn Park, MSN, CRNP, FNP-C
250 W Main St,
Ridgway, PA 15853-1611

Ph: (814) 772-8122

Reviews and Comments


General Practice Doctors in Ridgway, PA


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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