Jennifer A Park, CNP in Lawrence, MA - Medicare Nurse Practitioner

Jennifer A Park, CNP is a medicare enrolled "Nurse Practitioner - Family" in Lawrence, Massachusetts. Her current practice location is 360 Merrimack St, Lawrence, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 557-8800.

Jennifer A Park is licensed to practice in Massachusetts (license number RN254560) 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 1265908602.

Contact Information

	Jennifer A Park, CNP
	360 Merrimack St, Lawrence, MA 01843-1740
	(978) 557-8800
	(978) 557-8633

Map and Direction

Provider's Profile

Full Name	Jennifer A Park
Gender	Female
Speciality	Nurse Practitioner - Family
Location	360 Merrimack St, Lawrence, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265908602
Provider Enumeration Date: 10/23/2018
Last Update Date: 10/23/2018

Medicare PECOS Information:

PECOS PAC ID: 5597004846
Enrollment ID: I20190304001243

Medical Identifiers

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

Identifier	Type	State	Issuer
1265908602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN254560 (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. Jennifer A Park allows following entities to bill medicare on her behalf.

Entity Name	Henry Heywood Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360

Entity Name	Athol Memorial Hospital Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228

Entity Name	Circle Health Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710392683 PECOS PAC ID: 4486976792 Enrollment ID: O20141122000076

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. Jennifer A 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
Jennifer A Park, CNP 360 Merrimack St, Lawrence, MA 01843-1740 Ph: (978) 557-8800	Jennifer A Park, CNP 360 Merrimack St, Lawrence, MA 01843-1740 Ph: (978) 557-8800

Reviews and Comments

Nurse Practitioner Nurses in Lawrence, MA

Carla M Sweetra, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Prospect St, Suite 505, Lawrence, MA 01841 Phone: 978-794-8119 Fax: 978-794-9912
Kellie Olsen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack Street, Lawrence, MA 01843 Phone: 978-557-8800 Fax: 978-557-8633
Corina Shulman Kirwin, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 Haverhill St, Lawrence, MA 01841 Phone: 978-686-0090
Kelly Jeanne O'connor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Lawrence, MA 01843 Phone: 978-557-8800
Brittany Thibault, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Merrimack St, Lawrence, MA 01843 Phone: 888-227-3762
Melvin Alex Garcia, DNP, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 General St, Lawrence, MA 01841 Phone: 978-683-4000
Mark Jean-baptiste, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Canal St, Lawrence, MA 01840 Phone: 978-770-5743

Jennifer A Park, CNP - Medicare Nurse Practitioner in Lawrence, MA