Emmie Norville Park, NNP in Augusta, GA - Medicare Nurse Practitioner

Emmie Norville Park, NNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Augusta, Georgia. Her current practice location is 1120 15th St # 6033, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-2331.

Emmie Norville Park is licensed to practice in Georgia (license number RN227108) 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 1912419151.

Contact Information

	Emmie Norville Park, NNP
	1120 15th St # 6033, Augusta, GA 30912-0004
	(706) 721-2331
	(706) 721-7531

Map and Direction

Provider's Profile

Full Name	Emmie Norville Park
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	1120 15th St # 6033, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912419151
Provider Enumeration Date: 10/27/2017
Last Update Date: 11/29/2017

Medicare PECOS Information:

PECOS PAC ID: 7416216635
Enrollment ID: I20180116002287

Medical Identifiers

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

Identifier	Type	State	Issuer
1912419151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	RN227108 (Georgia)	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. Emmie Norville Park allows following entities to bill medicare on her behalf.

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Emmie Norville 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
Emmie Norville Park, NNP 1499 Walton Way Ste 1400, Augusta, GA 30901-2603 Ph: (706) 446-5941	Emmie Norville Park, NNP 1120 15th St # 6033, Augusta, GA 30912-0004 Ph: (706) 721-2331

Reviews and Comments

Nurse Practitioner Nurses in Augusta, GA

Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549
Veronica Bradford, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257
Kristin Anderson Hannah, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Rd, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8735
Magen Brooke Luke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375
Dr. Suzanne Dixson Thomas, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1916 N Leg Rd, Family Health Coordinator, East Central Health District, Augusta, GA 30909 Phone: 706-667-4285 Fax: 706-667-4607

Emmie Norville Park, NNP - Medicare Nurse Practitioner in Augusta, GA