Katherine Park, CNM in Voorhees, NJ - Medicare Advanced Practice Midwife

Katherine Park, CNM is a medicare enrolled "Advanced Practice Midwife" in Voorhees, New Jersey. Her current practice location is 165 Route 73, Voorhees, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 341-8474.

Katherine Park is licensed to practice in New Jersey (license number 25ME00063900) 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 1558861401.

Contact Information

	Katherine Park, CNM
	165 Route 73, Voorhees, NJ 08043-9526
	(856) 341-8474
	Not Available

Map and Direction

Provider's Profile

Full Name	Katherine Park
Gender	Female
Speciality	Advanced Practice Midwife
Location	165 Route 73, Voorhees, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558861401
Provider Enumeration Date: 02/17/2018
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8426311895
Enrollment ID: I20180417002321

Medical Identifiers

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

Identifier	Type	State	Issuer
1558861401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	25ME00063900 (New Jersey)	Primary
367A00000X	Advanced Practice Midwife	25ME00063901 (New Jersey)	Secondary

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. Katherine Park allows following entities to bill medicare on her behalf.

Entity Name	Advocare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

Entity Name	Virtua Medical Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338

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. Katherine 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
Katherine Park, CNM 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340	Katherine Park, CNM 165 Route 73, Voorhees, NJ 08043-9526 Ph: (856) 341-8474

Reviews and Comments

Advanced Practice Midwife Nurses in Voorhees, NJ

Nicole Marie Kashow, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2401 E Evesham Rd Ste A, Voorhees, NJ 08043 Phone: 856-424-8290
Jennifer Marie Travis, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043 Phone: 856-770-9300 Fax: 856-770-8238
Renata Siruckova, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd, Voorhees, NJ 08043 Phone: 856-770-9300
Maryellen Levine, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043 Phone: 856-770-9300
Miranda L Peurala, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 165 Route 73, Voorhees, NJ 08043 Phone: 856-341-8474
Flannery Farrell, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2301 E Evesham Rd, Voorhees, NJ 08043 Phone: 856-770-9300
Jane Letushko, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 157 Route 73, Voorhees, NJ 08043 Phone: 856-874-1114 Fax: 856-874-9555

Katherine Park, CNM - Medicare Advanced Practice Midwife in Voorhees, NJ