Ilsook Park Dahlin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Coarsegold, California. Her current practice location is
35463 Highway 41, Coarsegold, California. You can reach out to her office (for appointments etc.) via phone at
(559) 683-6292.
Ilsook Park Dahlin is licensed to practice in California (license number 95031582) 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 1528899622.
Provider's Profile
| Full Name | Ilsook Park Dahlin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 35463 Highway 41, Coarsegold, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528899622
- Provider Enumeration Date: 08/10/2024
- Last Update Date: 08/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931473774
- Enrollment ID: I20241008002022
Medical Identifiers
Medical identifiers for Ilsook Park Dahlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528899622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95031582 (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. Ilsook Park Dahlin allows following entities to bill medicare on her behalf.
| Entity Name | Camarena Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891778114
PECOS PAC ID: 4880584317
Enrollment ID: O20040318000523 |
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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. Ilsook Park Dahlin 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 |
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Ilsook Park Dahlin, FNP
Po Box 970,
Coarsegold, CA 93614-0970
Ph: (559) 246-8014 | Ilsook Park Dahlin, FNP
35463 Highway 41,
Coarsegold, CA 93614-8722
Ph: (559) 683-6292 |
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