Diana Park, RN in Chestnut Hill, MA - Medicare Registered Nurse

Diana Park, RN is a medicare enrolled "Registered Nurse" in Chestnut Hill, Massachusetts. Her current practice location is 140 Commonwealth Ave Fl Hall2, Chestnut Hill, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 552-4250.

Diana Park is licensed to practice in Massachusetts (license number RN2342461) 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 1154949832.

Contact Information

	Diana Park, RN
	140 Commonwealth Ave Fl Hall2, Chestnut Hill, MA 02467-3858
	(617) 552-4250
	Not Available

Map and Direction

Provider's Profile

Full Name	Diana Park
Gender	Female
Speciality	Registered Nurse
Location	140 Commonwealth Ave Fl Hall2, Chestnut Hill, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154949832
Provider Enumeration Date: 07/09/2020
Last Update Date: 07/09/2020

Medicare PECOS Information:

PECOS PAC ID: 3173907524
Enrollment ID: I20220902000113

Medical Identifiers

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

Identifier	Type	State	Issuer
1154949832	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN2342461 (Massachusetts)	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. Diana Park allows following entities to bill medicare on her behalf.

Entity Name	Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093756629 PECOS PAC ID: 4486567104 Enrollment ID: O20040315000395

Entity Name	Lawrence Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707

Entity Name	Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1245773308 PECOS PAC ID: 6305749987 Enrollment ID: O20170628003015

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. Diana 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
Diana Park, RN 140 Commonwealth Ave Fl Hall2, Chestnut Hill, MA 02467-3858 Ph: (617) 552-4250	Diana Park, RN 140 Commonwealth Ave Fl Hall2, Chestnut Hill, MA 02467-3858 Ph: (617) 552-4250

Reviews and Comments

Registered Nurse Nurses in Chestnut Hill, MA

Somatra Lynn Connolly, MSN, RN, PMHNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-3310
Brian Kolodziej, STUDENT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756
Melissa M Rogers, STUDENT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756
Christopher Hawes, STUDENT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756
Sherley Richemond, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-201-9930
Christine Frederick, Registered Nurse Medicare: Medicare Enrolled Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 978-590-7595
Kyrstin Coker, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 140 Commonwealth Ave, Chestnut Hill, MA 02467 Phone: 617-552-2756

Diana Park, RN - Medicare Registered Nurse in Chestnut Hill, MA