Kaitlin Noel Park, FNP-C in Michigan City, IN

Kaitlin Noel Park, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Michigan City, Indiana. Her current practice location is 3500 Franciscan Way Ste 400, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 878-8200.

Kaitlin Noel Park is licensed to practice in Indiana (license number 71013386A) 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 1083324867.

Contact Information

	Kaitlin Noel Park, FNP-C
	3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033
	(219) 878-8200
	(219) 878-8331

Map and Direction

Provider's Profile

Full Name	Kaitlin Noel Park
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3500 Franciscan Way Ste 400, Michigan City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083324867
Provider Enumeration Date: 12/01/2022
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9537531306
Enrollment ID: I20230206001086

Medical Identifiers

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

Identifier	Type	State	Issuer
1083324867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28215463A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71013386A (Indiana)	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. Kaitlin Noel Park allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Kaitlin Noel 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
Kaitlin Noel Park, FNP-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Kaitlin Noel Park, FNP-C 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033 Ph: (219) 878-8200

Reviews and Comments

Nurse Practitioner Nurses in Michigan City, IN

Carol Lynn Parks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 Fax: 219-877-2000
Donald Ernest Greer Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029
Nichole M Shultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566

Kaitlin Noel Park, FNP-C - Medicare Nurse Practitioner in Michigan City, IN