Jane Park, in Bronx, NY - Medicare Nurse Practitioner

Jane Park, is a medicare enrolled "Nurse Practitioner" in Bronx, New York. Her current practice location is 4422 3rd Ave, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 960-9000.

Jane Park is licensed to practice in New York (license number F347367) 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 1174297857.

Contact Information

	Jane Park,
	4422 3rd Ave, Bronx, NY 10457-2545
	(718) 960-9000
	(718) 960-9361

Map and Direction

Provider's Profile

Full Name	Jane Park
Gender	Female
Speciality	Nurse Practitioner
Location	4422 3rd Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174297857
Provider Enumeration Date: 08/05/2021
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 9335535590
Enrollment ID: I20220415001007

Medical Identifiers

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

Identifier	Type	State	Issuer
1174297857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F347367 (New York)	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. Jane Park allows following entities to bill medicare on her behalf.

Entity Name	Sbh Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740595917 PECOS PAC ID: 3072798941 Enrollment ID: O20110420000217

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. Jane 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
Jane Park, 1424 Outlook Ave Apt 1, Bronx, NY 10465-1184 Ph: (718) 883-0012	Jane Park, 4422 3rd Ave, Bronx, NY 10457-2545 Ph: (718) 960-9000

Reviews and Comments

Nurse Practitioner Nurses in Bronx, NY

Ms. Christina Marie Araujo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Mickle Ave, Bronx, NY 10469 Phone: 718-652-4647
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Mrs. Oluebere Chinyere Nwokocha, REGISTERED NURSE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2015 Grand Concourse, Bronx, NY 10453 Phone: 718-299-7295 Fax: 718-299-6797
Silvia R Mehmel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2514 Woodhull Ave, Bronx, NY 10469 Phone: 718-618-0401 Fax: 718-294-6276
Mrs. Ashley Rae Noboa, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3415 Bainbridge Ave, Bronx, NY 10467 Phone: 718-920-7200 Fax: 718-547-2929
Ms. Charleen Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3444 Kossuth Ave, Mmg Family Care Center, Bronx, NY 10467 Phone: 718-920-2273
Mrs. Keisha A Ballentine-cargill, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 841 Burke Ave, Bronx, NY 10467 Phone: 718-654-1726

Jane Park, - Medicare Nurse Practitioner in Bronx, NY