Mrs Olga Park, MD in Elizabeth, NJ

Mrs Olga Park, MD is a medicare enrolled "Pediatrics" physician in Elizabeth, New Jersey. Her current practice location is 200 Williamson St Ste 320, Elizabeth, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 994-5750.

Mrs Olga Park is licensed to practice in New Jersey (license number 25MA10429000) 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 1609138791.

Contact Information

	Mrs Olga Park, MD
	200 Williamson St Ste 320, Elizabeth, NJ 07202-2909
	(908) 994-5750
	(908) 558-0269

Map and Direction

Physician's Profile

Full Name	Mrs Olga Park
Gender	Female
Speciality	Pediatrics
Location	200 Williamson St Ste 320, Elizabeth, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609138791
Provider Enumeration Date: 06/13/2012
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5991033193
Enrollment ID: I20240604002568

Medical Identifiers

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

Identifier	Type	State	Issuer
1609138791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA10429000 (New Jersey)	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. Mrs Olga Park allows following entities to bill medicare on her behalf.

Entity Name	Trinitas Physicians Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205189941 PECOS PAC ID: 6709002850 Enrollment ID: O20140725000027

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. Mrs Olga 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
Mrs Olga Park, MD 200 Williamson St Ste 320, Elizabeth, NJ 07202-2909 Ph: (908) 994-5750	Mrs Olga Park, MD 200 Williamson St Ste 320, Elizabeth, NJ 07202-2909 Ph: (908) 994-5750

Reviews and Comments

Pediatrics Doctors in Elizabeth, NJ

Amita N Patel, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-353-5750 Fax: 908-355-2452
Mrs. Karpukarasi Ayyanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 517 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-527-1247 Fax: 908-354-8822
Dr. Patricia Laura Czernizer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Elmora Ave, Elizabeth, NJ 07208 Phone: 908-659-9200 Fax: 908-659-9210
Dr. Kenneth James Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Newark Ave, Suite 212, Elizabeth, NJ 07208 Phone: 908-354-9500 Fax: 908-354-9077
Dr. Edgardo Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 314 1st Ave, Elizabeth, NJ 07206 Phone: 908-353-5280
Mrs. Kusum Anil Jethwa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-354-1400 Fax: 908-354-1400
Dr. Danilo Magallanes Guinto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 144 Chilton St, Elizabeth, NJ 07202 Phone: 908-659-0429 Fax: 908-659-1559

Mrs Olga Park, MD - Medicare Pediatrics in Elizabeth, NJ