Rosa Park, MD in Louisville, KY

Rosa Park, MD is a medicare enrolled "Urology" physician in Louisville, Kentucky. Her current practice location is 401 E Chestnut St Unit 520, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 588-4740.

Rosa Park is licensed to practice in Kentucky (license number 60025) 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 1295094811.

Contact Information

	Rosa Park, MD
	401 E Chestnut St Unit 520, Louisville, KY 40202-5713
	(502) 588-4740
	Not Available

Map and Direction

Physician's Profile

Full Name	Rosa Park
Gender	Female
Speciality	Urology
Location	401 E Chestnut St Unit 520, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295094811
Provider Enumeration Date: 05/16/2012
Last Update Date: 12/02/2024

Medicare PECOS Information:

PECOS PAC ID: 4082994538
Enrollment ID: I20240912001243

Medical Identifiers

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

Identifier	Type	State	Issuer
1295094811	NPI	-	NPPES
7100998520	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	293766 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Tennessee)	Secondary
208800000X	Urology	60025 (Kentucky)	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. Rosa Park allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Rosa 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
Rosa Park, MD Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328	Rosa Park, MD 401 E Chestnut St Unit 520, Louisville, KY 40202-5713 Ph: (502) 588-4740

Reviews and Comments

Urology Doctors in Louisville, KY

Mr. Mohammed Adnan Said, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 520, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537
Dr. Mohammad Amin, MD Urology Medicare: Medicare Enrolled Practice Location: 800 Zorn Ave, Veterans Affairs Medical Center, Louisville, KY 40206 Phone: 502-287-4000 Fax: 502-287-6825
Angelena B. Edwards, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3999 Dutchmans Ln Ste 6f, Louisville, KY 40207 Phone: 502-559-1670 Fax: 502-349-1999
Dr. Kellen Bo Yung Choi, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 480, Louisville, KY 40202 Phone: 502-588-4740 Fax: 502-588-9537
Ross Micciche, Urology Medicare: Medicare Enrolled Practice Location: 501 E Broadway Ste 270, Louisville, KY 40202 Phone: 502-588-4740
Anthony J. Casale, M.D. Urology Medicare: Medicare Enrolled Practice Location: 234 E Gray St, Suite 662, Louisville, KY 40202 Phone: 502-629-4220

Rosa Park, MD - Medicare Urology in Louisville, KY