Eun Kyung Park, GNP in Burbank, CA - Medicare Nurse Practitioner

Eun Kyung Park, GNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Burbank, California. Her current practice location is 209 W Alameda Ave Ste 101, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (866) 227-3310.

Eun Kyung Park is licensed to practice in California (license number 95007780) 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 1194226936.

Contact Information

	Eun Kyung Park, GNP
	209 W Alameda Ave Ste 101, Burbank, CA 91502-3023
	(866) 227-3310
	Not Available

Map and Direction

Provider's Profile

Full Name	Eun Kyung Park
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	209 W Alameda Ave Ste 101, Burbank, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194226936
Provider Enumeration Date: 02/27/2018
Last Update Date: 06/16/2018

Medicare PECOS Information:

PECOS PAC ID: 5698020279
Enrollment ID: I20180622001156

Medical Identifiers

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

Identifier	Type	State	Issuer
1194226936	NPI	-	NPPES
95007780	Other	CA	CALIFORNIA BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	95007780 (California)	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. Eun Kyung Park allows following entities to bill medicare on her behalf.

Entity Name	Integrated Allied Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649970740 PECOS PAC ID: 6204293228 Enrollment ID: O20230607001430

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. Eun Kyung 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
Eun Kyung Park, GNP 320 S Ardmore Ave Apt 234, Los Angeles, CA 90020-3162 Ph: (213) 458-0703	Eun Kyung Park, GNP 209 W Alameda Ave Ste 101, Burbank, CA 91502-3023 Ph: (866) 227-3310

Reviews and Comments

Nurse Practitioner Nurses in Burbank, CA

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Jessica Cuesta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 241 W Olive Ave, Burbank, CA 91502 Phone: 818-848-5561
Jesselyn Joy Walter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1211 W Magnolia Blvd, Burbank, CA 91506 Phone: 323-620-3463
Yui Hatano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 N Hollywood Way, Burbank, CA 91505 Phone: 866-389-2727

Eun Kyung Park, GNP - Medicare Nurse Practitioner in Burbank, CA