Brandon D Park, APRN in Ogden, UT - Medicare Nurse Practitioner

Brandon D Park, APRN is a medicare enrolled "Nurse Practitioner" in Ogden, Utah. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Elevate Surgical Pc and his current practice location is 4700 Harrison Blvd, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 475-3300.

Brandon D Park is licensed to practice in Utah (license number 3749704405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811960123.

Contact Information

	Brandon D Park, APRN
	4700 Harrison Blvd, Ogden, UT 84403-4303
	(801) 475-3300
	(801) 475-3301

Map and Direction

Provider's Profile

Full Name	Brandon D Park
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	4700 Harrison Blvd, Ogden, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brandon D Park graduated from nursing school in 2004

NPI Data:

NPI Number: 1811960123
Provider Enumeration Date: 02/08/2006
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9032174479
Enrollment ID: I20041124000339

Medical Identifiers

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

Identifier	Type	State	Issuer
1811960123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3749704405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ogden Regional Medical Center	Ogden, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elevate Surgical Pc	7113317272	2

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. Brandon D Park allows following entities to bill medicare on his behalf.

Entity Name	Utah Orthopaedics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497089908 PECOS PAC ID: 8325170681 Enrollment ID: O20100722000077

Entity Name	Elevate Surgical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952064198 PECOS PAC ID: 7113317272 Enrollment ID: O20211203000252

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. Brandon D 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
Brandon D Park, APRN Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Brandon D Park, APRN 4700 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3300

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Brandon D Park, APRN - Medicare Nurse Practitioner in Ogden, UT